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Montana Department of Revenue Dan Bucks Brian Schweitzer Governor Director Special Order Retail Price Request Store Number & City: Date: Agents Signature: Complete this form to request an estimated retail price of any special order product not currently priced. Please carefully read and observe the following: This form is not to be considered as a request to order the product listed. The retail price furnished will be estimated depending on circumstances involved at the time this form is completed. Due to shipping delays, prices are subject to change. Please supply Liquor Distribution with all available information. Please fax completed Price Request Form to (800) 332-6135, Option 3 – 1. Case(s) Bottle Product Name of Vendor or Requested Size Name Additional Information Customer Service (406) 444-6900 TDD (406) 444-2830 www.mt.gov/revenue

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Special%20Order%20Price%20Request

  • 1. Montana Department of Revenue Dan Bucks Brian Schweitzer Governor Director Special Order Retail Price Request Store Number & City: Date: Agents Signature: Complete this form to request an estimated retail price of any special order product not currently priced. Please carefully read and observe the following: This form is not to be considered as a request to order the product listed. The retail price furnished will be estimated depending on circumstances involved at the time this form is completed. Due to shipping delays, prices are subject to change. Please supply Liquor Distribution with all available information. Please fax completed Price Request Form to (800) 332-6135, Option 3 – 1. Case(s) Bottle Product Name of Vendor or Requested Size Name Additional Information Customer Service (406) 444-6900 TDD (406) 444-2830 www.mt.gov/revenue