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                 Request Quote or Information              

                            * Required Field

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

                                 New Design    Existing Design

                                  Parts are made withcasting,forging, powder metallurgy or other process technology

                                  Part Name:                                    

                                  Part Weight:     g  lb  (please provide if it's an Existing Design)    

                                  Part Density:     g/cm³  lb/in³                   

                          *Material (Option 1):               

                                  Material (Option 2):             

                                  End User Application:

                                 *Expected Usage / Quantity:               

                                 *Is PPAP Requested?  Yes   No

                                  Expected Date to receive tooling samples:  

                                  Expected Date to receive the first shipment from full production:

                          *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 fill out this form and press the "Submit" button below.

                                                               Part drawing with dimensions & tolerances may be sent by fax or as an attachment                                                                                                                       

                                                               to your e-mail.  FAX #: 931- 823- 3006         E-MAIL: sales@microgiantspm.com