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Plymouth Foundry Inc - Sunday September 5, 2010


Please provide the following information for the part you are requesting. This information will help us prepare the most accurate price quote possible. Phone our Sales Dept. at 574-936-2106 for assistance.

RED - Indicates REQUIRED fields.

Customer Information

Date:

Company Name:
Existing Customer?:
Email Address:
Buyer Name:
Quote by:
(mm/dd/yyyy)

New Customer Information

If you are NOT an existing customer, please complete this section:

Phone Number:
Extension:
Fax Number:
Street/PO Box:
City:
State:
Zip Code:

Product Information

Customer Part Description:
Customer Part#:

You may attach a drawing:
Acceptable File Types:
Please remember to attach your drawing! Additional attachments can be emailed to us at this email address. Please put "ATTN: SALES" in the subject line: inform@plymouthfoundry.com

Product Request:



Metal Specification:
Specify Other:

Estimated Weight:

Standard Order Qty:

Part Requirements:








General Comments: For example, description of existing tooling or patterns


Other Information

How did you hear about us?:
Other / Salesperson:



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