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REQUEST FOR QUOTE

METALLIST, INC.

Please complete the information below to receive a quotation. The attachment of a DWG/DXF or PDF file of your part will assist us in preparing our response.

Your Name (required)

Company Name

Phone Number

Street Address

City, State, Zip

Fax Number

Your Email (required)

Part Number

Description

Estimated Annual Usage

Release Quantity

Target Price

Your Message

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