Home Request for Quotation
Please print and fax back to R J Chase Company Inc. (510)471-5248 (ATTN: Richard). We will get back to you as quickly as possible. If you prefer, you may e-mail us the same information instead at sales@rjchase.com. Please include a drawing of your part(s), if available, in your fax or e-mail.
| Name | |
| Company | |
| Address | |
| Phone & Fax | |
| Email Address |
| Function of the Part(s) | |
| Describe the Part(s) Include size and area to be coated or masked. |
Coating Requirements Check all that apply
| o Non-Stick | o Conductivity |
| o Lubricity | o Corrosion Resistance |
| o Insulation | o Chemical Resistance |
| o FDA Compliant | o Other_________________________________ |
Substrate/Material Types Check all that apply
| o Steel | o Stainless |
| o Aluminum (Type) | o Other _____________________________________ |
| Maximum Temperature substrate can withstand | |
| Operating Temperature of Coatings | |
| Chemical Resistance (must withstand exposure to) |
Special Requirements or Other Comments
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