POLY INDUSTRIES / High Quality Plastic Injection Moulders and Toolmakers

Request for Quotation
Please complete the form with as much information as possible
Date:[Choose one]
Company Name:		Phone Number:
Contact Name:		Facsimile Number:
Street Address:		Email:
PO Box:		State:
City:		Postcode:
Part Name:		Part Length (mm):
Primary Purpose:		Part Width (mm):
Item Weight (g):		Part Height (mm):
Material, (type of plastic):		Wall Section (mm):
Colour:		Finish: ( e.g. polished, matt, grain.)
Annual quantity:		Order quantity:
Is CAD model available?	Yes No	CAD File Format:
Is drawing available?	Yes No	Indicate gate position:
Is a sample available?	Yes No	Cycle Time (s):
Is flame retardency required?	Yes No
Is UV stabilization required?	Yes No
Is food contact required?	Yes No
Is tooling ( mould ) available?	Yes No	If so, how many cavities:
Is a hot runner system required?	Yes No	If so, number of gates:
Is post moulding work required?	Yes No	( e.g. drilling, welding, printing, assembly )
If so, type of work:
Packaging Details:
Additional comments:
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Request for Quotation