Static Control Accessories Quote Form

Simple quote checklist for all products. 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

STATIC DISSIPATIVE BINDERS:
Sky Blue, 3 Round Ring,
ESD Symbol imprinted spine and cover

Size 1 " RingSize 1-1/2 " RingSize 2 " RingSize 3 " Ring

Quantity:

ADJUSTABLE CLOTH WRIST STRAP SET:
Light Blue, 10 foot Coil Cord

Quantity:

STATIC DISSIPATIVE TRASH CAN LINERS:
Black, packed 50 per bag

24 " x 24 " x .0015 (10 gallon)22 " x 16 " x 58 " x .0015 (55 gallon)

Quantity:

ESD CHAIR COVER:
Blue Dissipative Buried Conductive Layer Vinyl- 14 oz.Blue ESD Nylon Cloth 5 oz.

Dimensions

Chair Seat:

Chair Back:

Quantity:

FIELD SERVICE MATS:
24" x 24" with two 12" x 8" Pockets with 2 male snaps

Red Deluxe - 18 oz.Blue Standard - 14 oz.

Quantity:

FIELD SERVICE KITS:

24" x 24" with two 12" x 8" Pockets
2 Male Snaps, Adjustable Wrist Band,
Ground Cord Assembly

Red Deluxe - 18 oz.Blue Standard - 14 oz.

Quantity:

FIELD SERVICE MAT/KIT CUSTOM REQUIREMENTS:

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