RFQ Questionnaire

If some fields are not applicable, please N/A

First name *

Last name *

Email *

Company *

Subsidiary / Parent Co.

Address

Street *

City *

ZIP *

Country *

Company Type *

Project / Product name *

Enquiry type *

Quote submission Date *

Possible to send us samples? *

Timeline for first delivery of product

Earliest date *

Latest date *

If not in production when is expected launch date? *

Forecasted Annual Volumes (when launched)

Year 1 *

Year 2 *

Year 3 *

Quote currency *

Target Price (per volume) *

Target Market (Ie. Europe/US/Asia/India) *

Price breaks required *

NDA signed *

Packaging requirements *

ISO Certification (please specify)

Notified body (please specify)

Class of finished device (MDR) *

Application of Finished Device *

Product Specification / Drawing Supplied? *

If no drawing, please specify OD, ID, L

ID (mm)*

OD (mm) *

Length (mm) *

Tolerances required +/-

ID (mm) *

OD (mm) *

Length (mm) *

Material requirements

Material

Colour/Pantone Reference (if not specified) *

Medical Grade Material Required? *

Initial Parts to be used for human use? *

Validation required? *

Additional Comments

* Required fields