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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