Please complete the following:
(*) Indicates required fields |
| Date: |
(mm/dd/yyyy) |
Request Due Date: |
(mm/dd/yyyy) |
| *Customer Name: |
|
*Customer Contact Name: |
|
| Address 1: |
|
*Phone: |
|
| Address 2: |
|
Fax: |
|
| City: |
|
*Email Address: |
|
| State/Province: |
|
EAU: |
|
| Zip: |
|
Monthly Usage: |
|
| Country: |
|
Release Qty: |
|
| Machine Target Price: |
|
Casting Target Price: |
|
| Material Specifications |
| Gray Ductile |
|
|
| Gray |
|
Ductile: |
|
| Other: |
|
Other: |
|
| Casting Weight: |
|
Heat Treat: |
Yes No |
| Machining: |
Yes No |
Packaging Requirements: |
|
| Paint: |
Yes No |
Specs/Color: |
|
| New Tooling: |
Yes No |
3D Model files available: |
Yes No |
| Existing: |
Yes No |
Returnable Containers: |
Yes No |
If Yes, pattern description is required, including core boxes:
|
Please enter the following:
|
|
|
