RFQSubmission

Please use this form to help us capture important information about your project. When the completed form is submitted, a pre-populated e-mail will be created from your mailbox. Please attach your manufacturing drawings and supporting documents to the e-mail before sending. You can expect to hear from us within a day or two.


Please print a copy of the completed form for your records.

Contact information:


Company Name: Contact Name:

Title: Phone: E-mail:

City: State: Country:

Project related questions:


How did you hear about Optimax? Expected order date: Pick a date

Total project budget: Preferred delivery schecule:

Quantity 1 Quantity 2 Quantity 3 Identify market:

Project requirements:

Hold the Ctrl key to select multiple values when available

Inspection data options:
Manufacturing tolerances: Source inspection:

Coating quality options:
Deliverable witness samples: Environmental testing:

Packaging options: *Export compliance:

*Export compliance is required for all international customers. Please see our Export Compliance Form.

Notes/Comments:




I have read and understand Optimax's Business Terms and Conditions.
Please attach all manufacturing drawings and supporting documents to the e-mail before sending.

If you have any questions, please contact us at sales@optimaxsi.com or by calling 1-585-265-1020.