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Quote Request - Name - Please enter your First and Last Name.
Quote Request - Company Name - Please enter your Company Name.
Quote Request - Email Address - Please enter your Email Address.
Quote Request - Interest - Indicate if you are interested in Injection Molding
Quote Request - Interest - Indicate if you are interested in Assembly
Quote Request - Interest - Indicate if you are interested in Testing
Quote Request - Interest - Indicate if you are interested in Packaging
Quote Request - Telephone - Please enter a Telephone Number where you can be reached at regularly.
Quote Request - Subject - Please enter a Subject for this Message, this will help us in directing the Message to the appropriate person(s).
Quote Request - Briefly describe the part or product.
Quote Request - Message - Do you know what size press is required?
Quote Request - Existing Mold - Is there an Existing Mold ?
Quote Request - Material Requirements - Are there specific material requirements ?
Quote Request - Packaging requirements - Are there specific packaging requirements ?
Quote Request - Material Supplier - Is there a specific material supplier required ?
Quote Request - Packaging Supplier - Is there a specific packaging supplier required ?
Quote Request - Materials/packaging Supplied By - Who will supply the materials/packaging ?
Quote Request - Quantity Required - Approximate quantity required
Quote Request - Deadline - Is there an deadline to meet ? If so - when ?
Quote Request - Frequency of Requirements - What is the approximate frequency of your requirements ?
Quote Request - Operator Requirements - If known, would this mold require Automatic,Semi-Automatic or Manual operation ? ?
Quote Request - Previous Price - Price you have paid previously ?
Quote Request - Additional Information - Any additional comments/information that might be relevant ?
Company Name:
E-mail Address:
Interested in:
(Check all that apply)
Injection Molding Assembly
Testing Packaging
Part/Product Description:
What size press is required?
Existing Mold:
Specific Material Requirements:
Specific Packaging Requirements:
Specific Material Supplier Required:
Specific Packaging Supplier Required:

Materials/Packaging supplied by: You Warren Plastics

Approx. Qty Required:   

Deadline to meet:


Approx. Frequency of Requirements:


Would this mold be considered:
(i.e. full-time operator requirements):

Additional Info :


We stand behind our work 100% !!
Warren Plastics Manufacturing Company
123 Elm Street
Warren, PA  16365-2809
Phone/Fax: (814) 726-9511