First Name:
Last Name:
Title:
Company:
Address:
City:
State:
Zip:
Country:
Work Phone:
Fax:
Email:
   
   
Part Number:
Part Name:
Material/Spec:
Annual Volume:
Part Description :
Color if needed:
Packaging:
Special Process:
Special Testing/Inspection Requirements:
   
Engineer Contact:  
   
Buyer Contact:  
   
   
RFQ#
   
Drawings and/or Specifications available?
   

If checked please E-mail: sales@sur-flo.com (.pdf or .IGS format preferred)
or Fax: 586-773-8946

   
Sample parts available?
 

If checked please Mail to:

Sur-Flo Plastics & Engineering, Inc.
24358 Groesbeck Highway
Warren, Mi 48089
ATTN: Sales - Quotations