Submit your "Mold Repair Request for Quote" on-line by completing the form below.  Please provide as much detail as possible.  When you are done, click on the "Submit Request" button near the bottom of the page.  We will review your request and contact you as quickly as possible.
 
Company and Part Information
 Company Name
 Contact Name
 Telephone Number
 E-Mail address
 Part Name / Number
 Part Description
    
    
Mold Details
   Measurement Units: inches     mm
 Number of Cavities
 Machine
 Cycle Time
 Radius
 Orifice
 Material
 Part Weight
 Material Shrinkage
 Color
 Gate
 Mold Base
 Material (mold)
 Hardness
 Ejection
 Runner System Conventional      Hot Runner 
 Drops
 Cooling
 Side Action
 Finish
 Engraving
 Heaters
 Connectors
 Controller
 MoldFlow
 Sampling
 First Article Inspection
 Part Drawing
 CAD File
 Mold Drawings
 
Notes and Comments