First Name: Required Enter First Name	Last Name: Required Enter Last Name	Title Enter your position title
Company: Required Enter Company Name:	Phone: Required Enter Phone Name:	Fax: Required Enter Fax Number:
Email Address Required
Address Line 1: Required Enter Address Line 1:
Address Line 2: Enter Address Line 2:
City: Required Enter City name:	State: Required Enter State:	Zip Code: Required Enter Zip (Postal) Code:
Country: Enter 3 digit country code: (i.e. USA)
Corporate Website

Quotation Parameters

Design State Select the State of your design New Design Re Design Existing Design
Quantities to be quoted

Part Number: Your internal part number:	Revision_Number: (ie. v0.21)
Desired Delivery Date: MM/DD/YYY	Annual Quantity: Enter annual quantity used:
Expected Life: Enter expected life:	Target Price: Enter target price:

Nameplate, Overlay, Logos, and Labels information

Product End Use:

Products final application:

Part Size:

Include standard (mm or in)

Tolerance(+/-):

Include standard(in or mm):

Material

Type:

Aluminum, Plastic, etc...

Thickness:

Include standard(in or mm):

Material Alloy:

Include standard(in or mm):

Material Temper:

Include standard(in or mm):

Mounting Surface

Recessed

Rough

Textured

Smooth

Curved

Mounting Material

Aluminum, Plastic, etc...(that you will be mounting the end product upon)

Adhesives: Pressure Sensitive Other:

Nameplate Attributes

Base Metal

Anodized Painted Raw Etched Metalphoto Other

Finish

Mill Finish Bright Finish Brush Finish Sand Finish Spin Finish Copy Carve

Top Coating

Gloss top coating Dull top coating Semi-Gloss top coating

Corners

Square Corners Round (radius)

Will parts be formed: Yes No

No. of holes: Sizes:

Nameplate Copy

Colors

Color #
Color Name

Customer Supplied Artwork: Yes No

Attach a file

Files must be less than 4MB

Serializing: Yes No
Number of digits:
Serial Numbers Filled: Yes No

Tooling

Customer Furnished Priced Separately Amortize Price

Packaging

Wrap each part separately: Yes No

Ship with removeable protective plastic Yes No

Weight Count / Bulk Pack Yes No

Additional Comments

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