Requester InformationRFQ No.Date Date Format: MM slash DD slash YYYY Contact First Last CustomerPhoneEmail Address Street Address City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Request DescriptionRequest Type* Prototype Production Mold Type*TransferCompressionInjection TransferInjectionLSR InjectionGate Type*SprueChiselEdgeRing GateCavity Finish*PolishLight MatteHeavy MatteHigh PolishAuxiliary Equipment Metal Loading Board Metal Seating Board Magnetic Board Prep Loading Board Manual Knockout Power Knockout Part Removal Board Pre-Loading Board Solid Wasteless Board Insert Wasteless Board Catch Board Lifter Plate Support Plate Inspection Board Other Other Auxiliary Equipment PrototypeProductionEAUPlease enter a number greater than or equal to 1.EAUPlease enter a number greater than or equal to 1.Compound Type*Silicone (VMQ)Liquid Silicone (LSR)Natural Rubber (NR)Polyisoprene (IR)Styrene Butadiene (SBR)Butyl (IIR)Polybutadiene (BR)Ethylene Propylene (EPDM)Polychloroprene (Neoprene CR)Nitrile (NBR)Epichlorohydrin (ECO)Ethylene-Acrylic (VAMAC)Urethane (EU)Fluorosilicones (FVMQ)Fluorocarbon (Viton FKM)Compound Type*Silicone (VMQ)Liquid Silicone (LSR)Natural Rubber (NR)Polyisoprene (IR)Styrene Butadiene (SBR)Butyl (IIR)Polybutadiene (BR)Ethylene Propylene (EPDM)Polychloroprene (Neoprene CR)Nitrile (NBR)Epichlorohydrin (ECO)Ethylene-Acrylic (VAMAC)Urethane (EU)Fluorosilicones (FVMQ)Fluorocarbon (Viton FKM)ShrinkagePlease enter a number from 1 to 100.ShrinkagePlease enter a number from 1 to 100.Mold Size*Mold Size (Units)*inmmMold Size*Mold Size (Units)*inmmCavitationPlease select an option or enter a number from 0 to 12.FWME to calculateMaximum number for pot sizeCavitationPlease select an option or enter a number from 0 to 2000.FWME to calculateMaximum number for pot sizeMold Delivery* Hot Pot Cold Pot Hot Runner Mold Delivery* Integral Pot Hot Pot Cold Pot Hot Runner Cold Runner Valve Gated Cold Runner Integral Pot*Integral Pot (Units)*inmmHot Pot*Hot Pot (Units)*inmmHot Pot*Hot Pot (Units)*inmmCold Pot*Cold Pot (Units)*inmmCold Pot*Cold Pot (Units)*inmmCold RunnerPlease enter a number from 4 to 64.Runner TypeSplitGun DrillValve Gated OptionsHydrAirNumber of DropsInsert Materials420 (50-54 Rc)440 (56-58 Rc)D-2 (58-60 Rc)A-2 (57-59 Rc)S-7 (51-53 Rc)420 PH17-4Insert Materials420 (50-54 Rc)440 (56-58 Rc)D-2 (58-60 Rc)A-2 (57-59 Rc)S-7 (51-53 Rc)420 PH17-4PlatingsChromeNickel/TeflonChrome TeflonPlatingsChromeNickel/TeflonChrome TeflonCavity ConceptInsertedCut in PlateFlashlessSplit BarCavity ConceptInsertedCut in PlateFlashlessSplit BarLow Ins. MaterialPeekTorlonTechtronLow Ins. MaterialPeekTorlonTechtronFrame MaterialRoy AlloyFrame Material4140 PHSpecial Mold Items Internal Vacuum Ext Vacuum (Box) Internal Mold Heaters Special Mold Items Internal Vacuum Ext Vacuum (Box) Internal Mold Heaters Vents Grind Laser Tear-trim Vents Grind Laser Tear-trim File AttachmentsInclude product drawing and any other information (parting line, sprue location, etc.). Please compress files into a single .zip folder prior to upload. Drop files here or Accepted file types: pdf, tiff, jpg, jpeg, png, doc, docx, xls, xlsx, zip, gz. Additional DetailsCommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.