Your name*:

Company name*:

Address 1*:

Address 2:

City, State, Zip*:

 ,   

Phone*:

 Ext:

Fax:

Email*:

Purchasing Contact*:

Technical Contact*:

Part name*:

Part number:

Est. annual usage:

Qty. breaks to quote:

  / / /

Number of cavities to quote (if preference):

/

Are prototypes required?

 Yes No

Desired lead time:

 (weeks)

Is existing tooling available?

 Yes  No

If yes, please describe (approx. size, # cavities, handloads, etc.)

Material to be used:

Will alternate materials be considered?

 Yes  No

Are CAD files available?

 Yes   No 
NOTE: To attach CAD files or part prints to this form, click on the “browse” button below and select the appropriate file from your computer or local network. Please review NMC’s CAD file format preference for best translation.

Special requirements or testing required?

 Yes  No If yes, please describe.

Do you have particular timing or production start dates to be met?  Yes  No
If yes, please describe.

Please list any other comments or pertinent information:

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