Name of Supplier:
Primary Contact:
Phone:
Name of Product/service:
Name of your PDITL contact:
List Existing Blanket Purchase Order(s), Purchase Order(s) or Name of Contract:
Please list Cost Reduction: (e.g., 3596 reduction in rate;35% reduction for all blanket line items)
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Other suggestions on how your products or services can have cost reduction:
Authorized Signature:
Print Name:
Title:
Date: