Medical & Specialty Products Quote Form

Quote checklist. Please provide the following information:

Please fill out the information below. The more complete your form, the quicker we can supply you a quote. Carefully note data for the “Required” Fields. Your form will not process if these fields are left blank.

Company Name (required)

Your Name (required)

Street Address (required)

City (required)

State, Zip Code (required)

Phone (required)

Email (required)

Fax

MATERIAL THICKNESS

LIP OR FLAP LipFlap
Lip Size:
Flap Size:

MATERIALS:

Crystal ClearClear MatteClear Taffeta

Color (Opaque):
Other:
Mil Thickness:

DIMENSIONS OF ITEM:
(List additional sizes if requesting more than one size of product)

Opening: Depth: Quantity:
Opening: Depth: Quantity:
Opening: Depth: Quantity:
Opening: Depth: Quantity:

HOT STAMP PRINTING:

Yes

Number of Colors:
Number of Sides:
Location:

GROMMETS:

Yes

Number of Grommets:
Grommet Size:
Location:

MAGNETIC BACKING:

Yes

Number of Strips:
Location:

ADHESIVE BACKING:

Yes

SNAPS:

Yes

Number of Snaps:
Size of Snap:
Location:

VELCRO®:

Yes

Number:
Size:
Location:

VELCOIN®:

Yes

Number:
Size: 5/8 in.1/2 in.
Location:

HANGHOLE:

Yes

Number of Holes:
Hole Diameter:
Location:

CLOSURE OPTIONS:

Zip Close Metal SliderZip Close

SPECIAL REQUIREMENTS/SPECIFICATIONS:

Dimensions of Tank To Be Lined   Special Requirements / Specifications
Length:
Width:
Depth:
Quantity:
Vinyl Mil Thickness:

SPECIAL REQUIREMENTS/SPECIFICATIONS:

If you have drawing or sketch of your design, please fax to: 800-669-9811 or 702-565-3838 or send to our address: 2399 Silver Wolf Drive, Henderson, Nevada 89011-4431, USA. If you prefer to email your drawing, send it to sales@armandmfg.net

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