Please fill out entire form and include as much detailed information as possible before submitting.
CONTACT INFORMATION ____________________________________________________________________________
Company Name:
Address 1:
Address 2:
City:
State/Province:
Postal Code:
Country:
Contact Name:
Phone:
Fax:
SCOPE OF WORK __________________________________________________________________________________
Type of Work:
New Work
Takeover
Please provide any supporting documents (CAD, prints, etc.)
Description of product needed:
Start of Production Desired:
Estimated Length of
Production (Years):
MATERIAL REQUIREMENTS __________________________________________________________________________
Estimated Annual Volume
to be Produced:
Material Type:
Thickness:
Engineering Specifications:
Other Attachments:
LOGISTICS _______________________________________________________________________________________
Is there more than
one ship to location?
Yes
No
Ship To Location #1:
Country:
Address 1:
Address 2:
City:
State / Province:
Postal Code:
Estimated Annual Volume
to be Shipped to this Location:
Shipping Terms:
DDU
DDP
Exworks
TIMING __________________________________________________________________________________________
Please Describe Pre-Launch Requirements (Prototyping,
Design Assistance, Etc):
Early Parts - Date Required:
Prototype - Estimated Due Date:
PPAP - Estimated Due Date:
SOP - Estimate:
OTHER QUOTE CONCERNS _________________________________________________________________________
Quote Due Date:
Is there a requirement to use a customer supplied quote form?
Yes
No
If Yes, Attach Required Form:
Requested Payment Terms:
Target Pricing (if applicable):
For multiple part RFQ's, please attach neccessary information below.
1.
2.
3.
4.
5.
6.
7.
8.
Other Information:
Other Attachments:
Enter code as it is shown:
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_________________________________________________________________________________________________
Thank you for your RFQ. Upon receipt of your information, Pridgeon and Clay will contact you within 3 business days to confirm receipt of your information and with any further questions or concerns regarding your needs.
