Request for Quote Form

Request for Quote
 
Name
Company Name
Title
Company Address

Phone
FAX
E-mail

 

How did you come to our website? search referral advertisement
other:

 

WILL A DRAWING OR SPEC BE SENT? (this is a must for multi-lumen tubes)
YES NO

Type of tube: single lumen multi-lumen braided stripe coextrusion
other:


Application

 

Size and tolerances and other specifications
OD:
ID:
Wall
+/-:
+/-:
+/-:
inch   mm
Cut to length:

+/-:


Spooled: quantity:

 

Material:

other:

 

Grade or Hardness
(if known):
Shore A Shore D

 

Suggested material supplier
(if known):
Color:

 

R/O filler:

no
yes, specify:

other:

 

Properties of material
(if material not specified above)

other:


Material (inner layer or stripe):

other:


Grade or Hardness
(if known):

Shore A Shore D

 

Suggested material supplier
(if known):

 

Color:

 

R/O filler:

no

yes, specify:

other:


Braiding material:
size:
# of strands:
pics per inch:
Length and tolerance:
Spooled: How many feet per spool:

 

Roundness

(diameter measurements)

Min and max must be in spec?
Yes No
Only average compared to spec?
Yes No
Concentricity:
How measured:

 

Straightness: Is there a spec?

no
If yes, specify how measured:

 

Any other finishing requirements?

Quantities to quote:
Annual Qty:

Packaging: any special requirements?

Other
Can we add you to our homepage update file?
This is a subscription feature. If you choose to join our update notification we will send you an e-mail inviting you to visit the specific page(s) that have been changed, like our news page or tube of the month page. You will not automatically recieve e-mail from PEI without signing on for this feature. You will not recieve unsolicited SPAM. Your contact information WILL NOT EVER be sold to or shared with anyone else.