Quote Inquiry Form
Name:
Company Name:
Address 1:
Address 2:
City, St., Zip
Country:
Telephones:
Fax:
E-mail Address:
P/N or DWG Ref:
Revision Number:
Description : Brief description of the part including size (dia, L X W) and quantities of holes, slots, slits, cutouts, flats, and/or waste edges (for example: 2.0 sq. X .025 with 16 cells at .500 sq. with each cell containing 6 holes at .010):
Please give us information regarding the material:
Material Type:
Special Material Specifications (if desired):	96% Alumina 99.5% Alumina 99.6% Alumina Other
Supplying Material:
Size:
Is supplied material metalized or does it require post-processing?:
Quantities to quote:
Immediate Buy or Budgetary Purposes?
Date:
Marketing Purposes Only
May an LRT representative contact you regarding this quote?
Does your company currently purchase laser-processing services? Estimated Annual Usage:
How many vendors does your company use now?
Is Lasereliance included in that number?
If the answer is no, what must Lasereliance Technologies do in order to earn the privilege to service your company?
Thank you for your inquiry. In most cases prices will be faxed within 24 hours of receipt. All prices quoted are subject to change based on LRT's receipt of customer drawings and specifications.