Dynamic Coatings, Inc. - Request for Quote (RFQ) Submission Form

Tel. (815) 886-3013 Fax (815) 886-3019

RFQ Submission

Thank you for allowing Dynamic Coatings the opportunity to quote your needs.

In order to properly submit the Request for Quote (RFQ) form below, please have the following information available:

Part Information (i.e. name, prints, estimated annual usage (EAUs)
Specification Requirements (i.e. auto or industrial spec's, masking, special packaging)
Substrate Information (i.e. material alloy, hardness, pretreatments)

Please fill out the form below, with as much information as you have available. Submit the form and someone from our Sales Dept. will contact you soon.

Contact Info

	* required fields

	First Name*	Last Name*

	Company Name*	Title / Position

	City*	State*

	Zip Code*

	Phone* (use numbers only)	Ext.
	- -

	Email Address*



Part Information

	Part Name/Description*	Part Number*


	Estimated Annual Usage*	Order/Lot Sizes


	Attach Prints/Docs/Files (up to 4)
	Attached Files:


	Specification Requirements

	What type of industry specification?		Coating Property Characteristics (check all that apply)
	Aerospace Automotive Food Industry Industrial/Commercial Military / DOD Other		Abrasion Resistance Anti-seize / Anti-galling Chemical Resistance Corrosion Resistance Heat Resistance Lowering Friction Non-Stick / Release / Easy Cleanup


	Specification ID (i.e. GM6046M 13T240)		Any coating thickness requirements? (i.e. .0003" - .0007")


	List/Describe any special Masking or Packaging requirements.



	Substrate Information

	What type of substrate?*




	Question / Comments:

	* required fields