Grommet Request for Quote Form

Please enter your name, company name, phone number, and a valid e-mail. The RFQ lot size is also a required field. We will need to know how many you need in order to develop a quotation for you.

The balance of the information is to be entered if it applies to your request.

Thank you for your inquiry. We look forward to supplying your future rubber product requirements.

Name*

Company*

Address

Phone*

FAX

Email address*

Comment

 

Grommet Information:

Our Part No.: [Leave this blank if you are filling in the dimension]

or

Dimension diagram for Standard Nitrile Grommets.Custom Grommet Dimensions:

Hole Diameter: (Dimension "A") [Leave blank if it is an open dimension]

Groove Diameter: (Dimension "B") [Leave blank if it is an open dimension]

Grommet O.D.: (Dimension "C") [Leave blank if it is an open dimension]

Groove Width: (Dimension "D") [Leave blank if it is an open dimension]

Grommet Height: (Dimension "E") [Leave blank if it is an open dimension]

Unit of Measure

Material Type

Durometer

Specification

RFQ Lot Sizes*