REQUEST FOR QUOTATION  
 
Contact Information  
 * required fields
* Company Name:
*  Address:
 
*  Country, Province/State
Postal Code//ZIP
 
  *  Contact Person:
*  Telephone
Fax
  *  e-mail:
 
Product Information  
Product Description:
Resin:
Special Features:
Mold Information  
Cavitation Required:
Estimated Annual Demand:
Number of Molds:
Molding Machine Size:
Special Requirements:
Optional Quote Items  
System Integration Required:
Yes No
Temperature Controller Required:
Yes No
Part Design Preparation Required:
Yes No
Spare Parts Package Required:
Yes No
Mold Flow Analysis Required:
Yes No
Will Send Samples:
Yes No
Will Send Part Drawings:
Yes No
Additional Option, Special Features and Information:
Hot Runner Type Gate Type Gate Location Gate Per Part
Hot
Cold
Hot/Cold
N/A
 
Edge
Hot Tip Nozzles
Valve
Tunnel
 
Outside
Inside
Center
Edge
 
1
2
3
 
Special Mold Features Quick Project Change
  Top Entry Robot Allowance
  Side Entry Robot Allowance
  Adaptable Vert/Horiz Mount
  Future Stack Mold Provision
  Offset Cross-Over Nozzle