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Price Quote Request Form

Company Information
Name: Date:
Company Name: Phone:
Address:
 Fax:
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 Email:
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 / Dura-Tech Contact:

Part Information

Part Name: Qty for Evaluation:
Typical PO Qty: Expected Annual Qty:
Length: Height:
Width: Weight:
Substrate Material: Approx. value/cost of part:
Describe the part's function:
Current Solution:
Describe the performance problem
Desired Performance improvements:
Please rankthe importance of the following characteristics:
Lubricity:
Corrosion Resistance:
Abrasion Resistance:
Any other important part factors, unusual operating conditions, special requirements, etc...

Application Information

Desired Coating Thickness Tolerances: +/-
Can the part withstand 750&Mac251; for 90 min?
Masking Requirements:
Other Comments:

Please allow approximately 12-14 days for delivery.
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