Are you currently looking for another supplier? Yes No

If yes, please rank these in the order of importance to you. (1 being most important)

- 1 2 3 4 Cost - 1 2 3 4 Quality - 1 2 3 4 Service - 1 2 3 4

Please describe your estimated annual usage, material, overall weight and size of each part and your packaging requirements.

Are samples available? Yes No

Are prints available? Yes No

Is any tooling or racking available for us?

Yes. Can you give us a description of it?


No. Are you willing to pay for new tooling? Yes No

Do you have a finish specification? Yes No

If yes, what is it?

Please include any additional comments:

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