Request For Quote Form
Date
*
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Month
-
Day
Year
Submission Date
Name and/or Company
*
Full Name or Company Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Who Is Providing Materials:
You, the Laser People
I am, the Client
Not Sure Yet
Who is Providing the Materials?
*
Please Select
You, the Laser People
I am, the Client
Not Sure Yet
Are you Dropping Off/Shipping to Us and/or Picking Up Your Products?
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Please Select
I'm Dropping Off/Shipping to You and Picking Up
I'm not Dropping Off/Shipping to You, but I am Picking Up
I'm Dropping Off/Shipping to You, but Not Picking Up
No, I am not doing either.
Type of Cover Plates
Nylon/Plastic - Paint Filled
Stainless - Permanent Black Mark
Stainless - Deep Etched & Paint Filled
Aluminum
Painted Steel
Other
Unsure
Plate Brand/Manufacturer
Hubbel
Leviton
Pass & Seymour
Eaton
Cooper
Mulberry
Lutron
Other
Unsure
How Many Lines?
1 Line
2 Lines
3 Lines
Mixed
Quantity
Tell US about your Project!
*
Material, Quantity, What's To be engraved, Specs, Additional Directions. Be as descriptive as you can be, please!
Date Item Is Needed By:
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Month
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Day
Year
Image Upload
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You answered some questions with 'Unsure', would you like advisement on the correct selections for your specific needs?
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Yes
No
Shipping Information
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Type of Form?
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RFQ
Service?
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