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In order to provide you with a quote for your inquiry, please fill out this form and click the "submit" button at the bottom to email your order. If you have any questions please call Strongwell's Technical Sales Manager at (276)645-8107 for assistance.

*Name:  
*Company:  
Address: Press enter to use multiple lines.
*Phone:  
Fax:
*Email:   
  1. Provide drawings or photos of your current or conceptual product. Also provide any assembly or fabrication details here as well.
  2. Acceptable file formats are: .dwg, .dxf, .jpg, .pdf, .tif, .gif, and .doc. If you need to submit more than five files, please email custom@strongwell.com.
 
 
 
 
 
2. Describe how the part is used:
3. List the most critical features/properties required:
4. Is the part new or currently manufactured in other materials?

If "other material", describe:
5. Part Requirement
Environment: 
Chemical Exposure (List Chemicals)
 
Chemical Concentration
Exposure Level: 
Normal Operating Temperature (Indicate Fahrenheit or Celsius):
Temperature Spikes/Excursion:
Properties:
Resin:
If "other", describe:
Color:Pantone/RAL# or custom color
Tolerances:
Mechanical (list):
Other Properties (list):
6. Secondary Work:
Is any fabrication or assembly work required? If so, describe and attach applicable drawings (above in #1):
Does part need to be painted?
Any special packaging?
Any special testing, test requirement or QA requirement? If so, describe:
7. Ordering Information
Is a prototype order required?
If so, approximately how many feet are needed?
Is this a one-time order?
If no, what is the estimated annual volume?
Anticipated production order/release qty:
Required initial delivery date: