Request A Quote From Hoosier Custom Plastics
Reference Number
Reference Number
- You may specify a reference number to use for future communication.
Contact Information
Company Name
*
First Name
*
Last Name
*
Title
Address 1
*
Address 2
City
*
State / Prov
*
Zip / Postal Code
*
Telephone
*
Fax
E-mail
*
RFQ Details
Part Number
Part Name
*
Part Description
Quanty to be Quoted
*
Estimated Annual Usage
(ex: 1000)
RFQ Intent
To place an order within 1 week
Gather quotes for budgetary purposes
Compare costs vs. our current supplier
Other
Is this part currently in production?
No, this is a new design
Yes, being produced in-house
Yes, being produced by another supplier
When do you need the quote from us?
*
Should our quote include material costs?
*
Yes, material should be included in pricing
No, material will be provided
Should we quote finishing costs per the drawing?
Yes, quote finishing per drawing
No, don't quote finishing
Required Delivery Date
*
Delivery/Shipping Details
How would you like to receive your quote?
via Email
via Fax
mail hard copy
Attachment 1
What to Upload
Notes
