Print and fax or mail this formto us or e-mail or call us with the information and we will reply as quickly as possible to your request. All quotations are firm for 30 days. Adjustments may apply after 30 days or if changes are made in specifications after the original quote.

Please, do not contact us with  vague descriptions of what you are wanting produced and requesting immediate estimates. These usually not going to be very accurate or helpful.

Name & Company information *required

*First Name

 

*Last Name

 

*Company name (or individual)

 

Address

 

 

 

City

 

State, Zip Code

 

*Phone #

 

Fax #

 

E-mail address

 

Item Information

Material requested (type, gauge, color)

 

Processing (machining, thermoform, assembly)

 

 

 

Quantity required

 

Prototypes required?

Yes      No

Required ship date

 

Will you supply your own materials?

Yes      No

Packaging required

 

Will this order repeat?

Yes      No

Item Details     Use this space to give the details of your item. Attach any sketches or drawings you may have.