RFQ

Request for Quote

This application gathers information from you and lets you submit them to us for a bid. Only completed applications will go through our bid process. Fields with a * are required.

Quote Details
*First Name:
*Last Name:
Company Name:
*Email Address:
*Address:
*City:
*State:
*Zip:
*Phone:
Fax:
Customer Quote #:	(if applicable)
*Quote Due Date:	(format: mm/dd/yyyy)
*Description:
*Project Start Date:	(format: mm/dd/yyyy) (this is the date you want us to go into production)
*Number of Parts:	(number of different pieces that make up the assembly)
Customer Part Numbers:	(separate #'s with a comma)
*Estimated Annual Usage:
New or Requote:
*Number of Runs:
Quantity Price Breaks:	1: 2: 3: 4:
*Material by:
*Material Certification Required:
Material Specification:
*Prototype or Print Approval Required:
Customer Tooling Available:
*Parts to be Painted:
Primer:
Finish Level:
Special Packaging Needed:
Special Instructions:

* indicates a required field

In addition to the Fabrication Division - AGRA Industries Inc. products and services include commercial and agricultural buildings systems; grain drying, storage and handling systems; construction; construction equipment; ethanol production; and waste water treatment systems.

Visit www.agraind.com for more information.