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                 Request Quote or Information              

                            * Required Field

                                  Part Information - please provide as much information as possible so that we can provide better quote.

                                 New Design  

                                 Existing Design

                                    - parts are made withcasting,forging,machining,powder metallurgy or other process technology

                                  Part Name                                    

                                  Part Weight     g  lb      

                                  Part Density     g/cm³  lb/in³                   

                          *Material (Option 1)                

                                  Material (Option 2)              

                                  End User Application

                                *Quantity Needed       units  pieces   

                          *Desire to receive the above quantity in shipments stretched over time period.

                                *PPAP Requesting?Yes, and the date expected is    No, not requesting

                                  Expected Date to receive tooling samples is  

                                  Expected Date to receive first shipment from full production is

                          *Is the Part Drawing currently available? Yes   No  Needs a Drawing (CAD)

                                 Contact Information

                           Company Name                  

                                 Web Address        http://  

                          *Contact Name                

                          *E-mail Address              

                           Phone Number                 Extension_________        

                                                                     format for a phone number: 123-456-7890

                                 Fax Number                    

                                                                                                   Special Instructions / Message

                                         (*) To receive a Quote, please send a filled this FORM by pressing the "Submit" button below, and

                                             send a DRAWING by Fax or as an attachment to an E-mail.    Fax Number: (931) 823 - 3006     Email Address: sales@microgiantspm.com