Quote Request All fields marked * are required. Your Name* First Last Company*CityState or CountryYour Email Address* Phone*FaxQuote #1Please include as much detail as possible in your description, see below for details. Head style, like flat or round Drive style, like Phillips or slotted Diameter, like 1/4" Thread pitch, like 20 threads per inch Length, like 10" Material, like steel Finish, like Trivalent zinc QuantityDescriptionDate Date Format: MM slash DD slash YYYY Target priceQuote #2QuantityDescriptionDate Date Format: MM slash DD slash YYYY Target priceQuote #3QuantityDescriptionDate Date Format: MM slash DD slash YYYY Target priceQuote #4QuantityDescriptionDate Date Format: MM slash DD slash YYYY Target priceShould your parts be RoHS compliant?NoYesIf print is available and required, attach here:CommentsAre alternate sources acceptable? If yes, which?Would you like to be on our mailing list?YesNoSecurity Verification
