Zenox Assembly Quote Request Form

Company Name:  
Customer Reference Number:  
(ie. Drawing# or Project#)
Desired Ship Date from Alamo:   Pick a date  (mm/dd/yyyy)
Quantity Required:  
Style:   Standard   Special (D8002BA)
*Total Number of Zenox Discs:  
Total Number of Leads:  
Use Standard Lead Length of 300mm?:   Yes No
Special Lead Identification Required?:   Yes No
*Each Zenox disc is manufactured by MEIDENSHA Corp., Type ZE64G23 class L for use
 under oil, MEIDENSHA Spec No.: EL-1480B and identification file F05-027.
If you have a drawing or other document you would like to attach to this request
click the "Browse" button below and select the file you wish to attach.
(Allowable file types: DWG, DXF, PDF, DOC, ZIP, JPG, TIF, GIF, BMP)




Tell us how to get in touch with you:
Contact Name:  
E-mail:  
Tel:  
FAX:  
Please add any additional information that may assist us in preparing this quote for you:
    
Please contact me as soon as possible regarding this request for a quote.

    


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