Request for Quote The following form will help you select the proper design for your application Order Number Material Type (Silicone, EPDM, etc...) Hardness or Durometer (Typically between 20 & 80 Shore A) Estimated Annual Usage (critical for determining size of tool to assure most cost effective option) Which physical properties are important? (SG, tensile strength, elongation %, tear strength, compression set) What type of environment is it subjected to? If an extrusion, do you require a secondary operation? (i.e. cutting, packaging, adhesive, etc...) Is there a target price range? This is useful in determining the design of part (i.e. extruded, diecut, molded, etc...) Personal Information Name * Job Title Company Name Address 1 Address 2 City State - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code Country Phone Number Fax Number Email Address * Contact Preference Email Phone Fax How did you hear about us? Google ad Google or other search engine results Link from other site Company mailings Other Additional Comments Additional Information Please attach any documents or pictures that will help us determine your specific need.