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ISO 9000 : 2001 CERTIFIED
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REQUEST FOR QUOTE
Company Information
Name:
*
Date:
Email:
*
Phone:
*
Dura-Tech Contact:
Company Name:
*
Fax:
Address
City:
State / Zip Code:
/
Part Information
Part Name:
*
Qty for Evaluation:
*
Expected Annual Qty:
Substrate Material:
*
Length:
Height:
Width:
Weight:
Describe the part's function:
*
Current Solution:
Describe the performance problem
Desired Performance improvements:
Rank the importance of the following characteristics:
Lubricity:
Corrosion Resistance:
Abrasion Resistance:
1(non-essential)
2
3
4
5
6
7
8
9
10(critical)
1(non-essential)
2
3
4
5
6
7
8
9
10(critical)
1(non-essential)
2
3
4
5
6
7
8
9
10(critical)
Specify any other important part factors, unusual operating conditions or special requirements :
Application Information
Masking Requirements:
Can the part withstand 750F for 90 min?
Yes
No
Yes
No
Tolerances: +/-
Desired Coating Thickness
Other Comments:
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