Request for Quote


	Your single source for cold headed, cold forged, cold formed and screw-machined parts.

Request for Quote


Contact Information:

*First Name:	*Last Name:

*Email Address:	*Phone Number:

*Company Name:	Position (Title):

Street Address 1:	Street Address 2:

City:	State/Province:

Zip/Postal Code:	Country:


Engineering Contact:
Name:

Phone Number:	Email Address:


General Product Information:

Part Number:

Decription:

Application:	Industry:


Part Design / Manufacturing Information:

Is this part design currently in production?	If so, how long has it been in production?
Yes No
If currently in production, what is the manufacturing process?

What secondary / finishing operations are required (machining, heat treating, plating, washing, etc)?

Are you open to design changes that will reduce manufacturing costs?
Yes No
What type of material is required?

Are you open to alternate material suggestions?
Yes No

Quantity / Delivery Requirements

*Estimated Annual Usage:

Are PPAP's samples required?	If so, what is the quantity and date required?
Yes No
When are production quantities required?	What is the expected life of this product?


Other Requirements

What is the target price for this part?

Are there any other special requirements (testing, packaging, labeling, shipping, etc.) that we should be aware of?


RFQ File (prints, specs, etc.)

Please attach zipped file:


* Indicates required information

Saegertown Manufacturing Corporation

1 Crawford Street
Saegertown, PA 16433 USA
Tel: 814-763-2655 Fax: 814-763-2069