Hard Copy Form
Company Name:_____________________________________Date: ____________ Material Classification Code Number: __________ (select the one
category Code Number Item / Material to be listed: ________________________________________________ Description:_____________________________________________________________ __________________________________________________________________________ (Provide detailed information as you wish to have it appear in the catalog listing:
include information Town of Material location:__________________________________________________ Process that generates the material:__________________________________________ Potential or Intended uses:___________________________________________________ Supply of Material / Item: o On-Going o One Time Availability Present Quantity Available:__________________Units (ea., lbs., tons,
cu.yds.):______ Future Quantity Available:__________________ Units (ea., lbs., tons,
cu.yds.):______ Available to interested parties: o Sample o Lab analysis o MSDS o Photo o Equip. Specs o Manual Materials Availability: o No Charge, o Price Negotible, o Price/Unit:
$__.___/ ____ Release Agreement: The undersigned acknowledges to having read and agree to the terms of the DISCLAIMER and furthermore agrees to release M2X and its staff, sponsors, directors and advisors from any claim, liability, obligation, or responsibility resulting from, pursuant to, or connected to the listing of materials or any other matter related to the Maine Materials Exchange. Signature:____________________________________ Date_____________________ A completed copy of this form may be mailed to M2X at 93 Maqouit Dr. Freeport, Me. 04032 or Faxed to 207-865-6478 For Assistance completing this form or for other information, Call M2X @ 207-865-6621 or contact Support@M2X.com |
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