If you would like us to contact you, please provide the following information:

        First Name           Last Name 
      Organization     Title 
  Street Address 
                         
                  City 
  State/Province 
Zip/Postal Code 
              Phone 
                 FAX 
              E-mail 

Please supply information about the job to be quoted.

Is drilling needed ---yesno     Is tapping needed ---yesno      Other operations ---yesno

 # of drilled holes                  # of tapped holes                              which? ---------machiningstakingassemblymarkingother

    drill size 1              tap size 1 

    drill size 2              tap size 2 

    drill size 3              tap size 3 

    drill size 4              tap size 4 

                                            tap type? ---------------roll forming tapcutting tapeitherunknownother

   part material? 

annual volume? 

           lot size? 

Is this a new or current job?  ---newcurrent

Do you have part drawings to send to us?------via faxvia e-mailvia mailno

Do you have sample parts available? ---yesno

What is the production start date?  

Do you need us to pick-up/deliver? ---yesno

Thank you for allowing us the opportunity to quote your requirements.