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
 Cycle Time
 Part Weight
 Material Shrinkage
 Mold Base
 Material (mold)
 Runner System Conventional      Hot Runner 
 Side Action
 First Article Inspection
 Part Drawing
 CAD File
 Mold Drawings
Notes and Comments