Request A Quote CompanyContact Name* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican 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 RicoQatarRomaniaRussiaRwandaRéunionSaint 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 IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*FaxEmail* I would like a quote for:*Injection MoldingCustom MoldingEngineering & ToolingInjection Molding, Engineering & ToolingQuote will contain 100% design, build, validation, and sample -- unless otherwise specifiedPart Name*Part Number*Part Weight*Number of Cavities*Material*Tool/Mold Number (if different from part number)Would you like to upload the Part Geometry?*YesNoPart Geometry File Upload (.zip)*Would you like to upload the Part Print?*YesNoPart Print File Upload (.zip)*Type of Mold:*PrototypeProductionHorizontalVerticalMolding Machine InformationPress SizeTie Bar Spread -- HorizontalTie Bar Spread -- VerticalShut Height -- MaxShut Height - MinGate TypeGate LocationManifold InformationIf ApplicableYesNoCavity IDCoverEjectorSteel Type -- Cavity InsertP20H13S7420SSA206D2OtherSteel Type -- Ejector InsertP20H13S7420SSA206D2OtherSteel Type -- SlideP20H13S7420SSA206D2OtherSteel Type -- Chase InsertP20H13S7420SSA206D2OtherFrameDMEMUDWater Connector TypeWater ManifoldYesNoSlidesHand LoadsMechanicalPressure SensorYesNoMold FinishSpare Components NeededSpecial InstructionsCustom MoldingPart Name*Part Number*Part Weight*(Grams, in3, cm3)Yearly Volume*Material*Can Equivalent Be Used?*YesNoMaterial Furnished By:*CustomerTomKenRegrind Allowed?*YesNoWould you like to upload the Part Geometry?*YesNoPart Geometry File Upload (.zip)*Would you like to upload the Part Print?*YesNoPart Print File Upload (.zip)*Shipping InformationShipping Schedule(Weekly, Monthly, etc.)Packaging RequirementsBulk Pack?YesNoLayer Pack?YesNoDividers?YesNoSpecial Handling:(Gloves, Bags, etc.)Max Container lbs.:Box Size:Returnable?YesNoTooling InformationDo you need a quote for tooling?YesNoTransfer Tool?YesNoAdditional InformationLink To Supplier Manual:Assembly(Sonic Weld, Snap, etc.)First Parts By -- OEM?YesNoFirst Parts By -- Clean Room?YesNoMarket(s):(Check all that apply) Automotive Medical Electrical Aerospace PPAP RequirementsNumber of Pieces for Capability Study:Gage R&R:SPC Data, Critical Characteristics:Testing Required?YesNoVisual Requirements?(Gloss, Texture, etc.)YesNo