Name: Modern Industries
Address: 613 W 11th St, Erie, Pa, 16501
Telephone: (814) 455-8061

1. Contact Information
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1 . Contact Information*
Name
Company
Address
Address 2
City/Town
State/Province
Zip/Postal Code
Country
Email Address
Phone Number
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2. Date Quotation is needed by?
MM slash DD slash YYYY
3. Is this current business or a new opportunity?
4. Turnaround required for PPAP and production?
5. Has Modern processed this part in the past?
- Yes
- No
6. If yes, do you know the order number or the time frame when the part was processed?
7. Estimated date when Modern would receive the parts?
8. Process Requested
Functional Specifications:
9. Material?
10. Specifications, if any:
11. EAU
12. Lot size and frequency (Please be as descriptive as possible)
13. Packaging Information (How parts will be received at Modern and returned to Customer)
14. Part Number
15. Piece weight of part
16. Part Name
17. Print Attached?
- Yes
- No
18. File Attachment
Max. file size: 50 MB.
19. Surface hardness required:
20. Case depth required:
21. Total or effective case needed:
22. Other requirements (straightness, tensile, yield, etc.):
23. Part Dimensions (Please be as descriptive as possible)
24. Other part dimensions required:
25. Certification(s) required:
26. Charts required:

Heat Treating Quote Request

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