GM RFQ Form

Lead Source

Lead Source Description

Secondary Lead Source

Secondary Lead Source Description

First Name *

Last Name *

E-mail *

example@example.com

Title *

Company *

Address

Country *

State *

State/Province *

City

Zip/Postal Code

Phone Number

Please indicate which product you are interested in (mandatory):

Other (please specify):

Would you like to be contacted by a Magnaplate technical representative?

Yes No

What problem are you trying to resolve? (Use description field)

Specific Application Performance Problem

Describe your specific application or the performance problem:

Please describe your general industry classification

Would you like us to prepare a quote?

Yes No

If yes, please attach the drawing

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Total size of upload should not exceed 30MB. If you need to send larger files, please email contact@magnaplate.com

What are quantities associated with this application?

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Stripping Masking Specifications Operating Conditions Other

Where did you hear about General Magnaplate (optional)?

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