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Contact Information
Company Name:
Contact Name:
Address:
Phone #:
E-mail:
Quote Needed By Date:

Plastic Information
Part Name?
Part Number?
Is a part drawing available?		Yes No
Is a sample part available?		Yes No
Estimated annual usage
Approximate release quantities
Material Requirements
Part Color?
Does the color need to be a custom match		Yes No
Part Weight
Special Packaging Requirements		Yes No
Secondary Work Required?		(milling, drilling, sonic welding, decorating, labeling, etc)
Assembly Required?		Yes No

Tooling
Is there an existing Mold/Tool?		Yes No
Do you require a new tooling quote?		Yes No
		Please provide any of the following information if applicable and/or available
Number of cavities?
Mold Dimensions?
Any hand-loaded inserts		Yes No
Is any over-molding needed		Yes No
Runner Type?
Gate Type?
Cavity Steel?
Cavity Finish?

Automation
Type of equipment needed:		Please give the best description of what you need the equipment to do

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