Online contact form and quotation request.

Please fill out as much of the following form as you like.  We will contact you right away!

  1. Please provide your contact information:
    Name        Title
    Street address
    Address (cont.)
    State/Province   Zip/Postal code    Country
    Work Phone  FAX

Please continue to fill out the form below, so that we may know more about your product. 

If you would like to only submit contact information, press the "submit form" button.  Otherwise, continue filling out the form. 

  1. Description of Product:

  2. Quantity of each part needed:

    1st year: 
    2nd year:


  1. Anticipated life in years of project:
  1. Anticipated life of project in parts:  
  2. Format of Data available (check all that apply)

    Sample or Prototype
    2D data file
    3-D data file

  3. Does a tool exist for the part(s)?

    Yes No

  4. Targeted order release date:
  5. Target - Production Starting Date
  6. . Please rank the following by importance (1-10):
    • Tool Delivery (& start production dates):
    • Engineering Assistance - Part Design:
    • Engineering assistance - Material Selection:
    • Assembly (Mechanical & Electrical) and Decorating:
    • Quality - Critical/tight dimensions:
    • Tool Price:
    • Part Price:
    • Quality - Appearance:
  1. . Special Requirements:


  2. . Material Requirements:


  3. . Target Part/ Tool Pricing:




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Bayarea, Northern California. | | Custom Plastic Injection Molding Company California