Request for Quotation Form

Company:

Contact:  

E-mail:   

Address1: 
Address2: 
City: State: Zip:

Phone:   Fax:

Profile:

Material Required:

If other above please specify:

Durometer required (shore "A" Scale)

Color required:
(Please indicate the Wilsonart, Nevamar, or Formica color number - If available, please mail color standard to Northland Plastics Inc.)

New project?    yes no
Finish critical?  yes no
Exposed Part?   yes no
Exterior use?     yes no
Interior use?      yes no
Current extrusion die available? yes no

Length:  
Length tolerance:

Estimated annual usage:

Order frequency:

Comments: