Quotation & Information Form
To provide a quote we need as much additional information as possible.
(Required) EMAIL Address :
NAME...............: Title....:
Company.........:
Address...........: PO Box:
City.................: State....: Zip.....:
Country...........:
Phone.............: FAX......:
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IF YOU KNOW... the item number / part number or can describe the part you want... :
Item Number or Description:
Quantity needed:
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Or...
If you do not know exactly what to buy for your application?
We will help you by reviewing the information you provide.
For Screwdrivers... FAX a print of the screw and part,
Or... Send a sample of the screws and the part ...
Fastener type & size? example... #6x1" phillips pan head thread-cutting":
Material held by screw (soft or hard?) please specify:
Material screw will be inserted into? Plastic, steel, wood, etc.:
Type of hole (Drilled, Tapped or No-Hole) :
Production speed requirements (cycles per minute/hour) ? :
Do you have a torque specification? example; 15 inch pounds :
Do you want electric or pneumatic tools? :
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For Auto-Feed Drills... FAX a print of the part that you want to drill
Or... send a sample,
Or... or tell us about the application...
One or multiple holes?
Hole patterns (requires a print unless all holes are in line) : example; 3 holes on 1" centers:
Hole diameters?
Through hole or blind hole?
Depth of hole?
Material to be drilled?
Production rate in cycles per minute or hour:
Coolant or dry?
Are there other special drilling requirements that you know of ?
Do You use Desoutter products now ? : Y N
