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Metal Stampings Quote Request Form.

Engel Diversified Industries Inc. (EDi)
1060 Quaker Avenue Jordan, MN 55352


Reliable Stampings, Inc.
13847 Aberdeen Street NE Ham Lake, MN, 55304


Represented by Duane Jaworski & Associates
Phone 763-792-2184 Toll Free 877-562-5070 Fax 763-785-8045 Toll Free 877-280-2087

Company Information


Company Name (required field)

Your Name (required field)

Address (required field)

Address2

City (required field)

State (required field)

Zip (required field)

Phone Number (required field)

Extension Number

Fax Number

Email Address (required)


Part Information


Part Name

Part Number (required field)

Revision Level

Requested Delivery Date (00-00-00) (required field)

Print Available (attach file below)

Sample Available

Type of Material (required field)

Annual Quantity

Quantities You Want Quoted (separate by commas) (required field)

Target Price


Additional Information


RFQ Number

RFQ Close Date

Engineers Name

Engineers Phone Number and Extension



Comments



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