Request for Quote
Items in RED are required fields.
Contact Information
Company
Name
Address
City	State: Zip:
Phone	Fax:
Email

Product Information
Part Name			Part Number
Program Life			Part Weight

Material

Zamak #2 Zamak #3 Zamak #5 Zamak #7 ZA 8 Other

If Other Specify

Annual Usage			Release Quantity		Sample Available	No Yes
Print Available	No Yes	*
		*Attached files should be less than 10 MB

Requested Services
Service	Zinc Die Casting	No Yes	Initial Quantity
Service	Tooling	No Yes	# of Cavities
Service	Finishing	No Yes	Type	Bright Brass Commercial Brass Nickel Plating Zinc Plating
Service	Assembly	No Yes	If Yes - Describe assembly below.
Additional Information