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Request a Quote Please tell us about your needs. Print out this
form, fill it out and fax it to us at 908-213-2203 so our staff can further
assist you. Name:_______________________________
Position:___________________________
Company:_________________________________________________________________
Street:____________________________________________________________________
City:___________________________ State:________ Zip:_______ Country:________
Email:__________________________
Phone:_______________ Fax:_______________
Please answer the following questions: What is the product's
application and specification? _______________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Do you have a spec? Yes_____ NO___
Do you have a
sample? Yes_____ NO_____ (If you have a spec please attach, if No please
fill out the following information) Construction (#of
wires):____________________________________________________
Material:
___________________________ Temper (hard or soft):____________________
Single End Wire Diameter (inches):
____________ Tolerances:______________________
Bare
Strand/Cable Diameter (inches):
___________ Tolerances:_____________________
Minimum Breaking
Strength/Tensile Strength: ____________________________________
Packaging (Reel Size):______________________ Quantity Per
Reel:__________________
Quantity Per Order (ft. or
lbs.):_________________ Annual Usage:___________________
Other
Information: ___________________________________________________________
___________________________________________________________________________
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