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Company Name *

Address *

Phone number *

Fax number

Other telephone (cell)

Person to Contact *

Your Email *

Title *

Hours *

Part number *

Part’s description / name *

Clear description of what is required *

Material type * (e.g. steel, aluminum, etc.)

Material thickness *

Other important properties

For tubing: diameter of tubing

Clearly identify tolerances

Additional services (e.g. plating, powder coating, etc.)

Quantity to Quote * (One Time or Annual Usage?)

Due date for quoting *

Due date for a product *

Please attach a PDF file defining dimensions

Addtional PDF Files?

Addtional PDF Files?

Message or Question