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Request For Quote (RFQ) Form

Please provide the following contact information: 

Please note fields marked with an * are required.

Have you ordered from Laird Technologies Before?  
If yes, please provide the date and previous PO# if known.  
* Requestor Name:  
* Requestor Company Name:  
* Requestor Email Address:  
Distributor (if applicable):  
* Phone Number:
(eg +1 314 344 9300)
* Customer Contact Name:  
Contact Phone:  
Contact Email:  
Customer Address:  
City:  
* US State or Country:  
Postal/Zip Code:  
* Product Line:  
* Industry:  
* OEM/End User:  
Additional
Comments/Information
 
* Do you have additional documentation to submit for this RFQ?  

Does your request have Military Requirements? Click Here.

All the following information MUST be completed on requests for any military industry/customers.
Requests missing any information below will be rejected.
 

Is Country of Origin information required?


Will this part be used in a controlled item (as defined by ITAR?)


Will a First Article/Source Inspection be required?


Will you require any certifications of manufacturers who are involved inthe production of this part?


Is this part required to be DFARS compliant?


Is this Department of Defense CAGE code required for production with this order?


Is a NADCAP approved supplier required for Heat Treat?


Is a NADCAP approved supplier required for Plating?
 

No Military Requirements? Click Here.


Does your request have Automotive Requirements? Click Here.

All the following information MUST be completed on requests for any automotive industry/customers.
Requests missing any information below will be rejected.
 

If you need to submit additional documentation for Product Specifications, Material Descriptions or Packaging Descriptions, please select YES above for additional documentation. 

Testing Methods & Standards : (other than drawing or description)
Validation Plan:         First Article Inspection: 
Type : Internal    PPAP    VDA2    Level

System Requirements: (Quality Management System requirements, Targets, etc.) 

 

Environmental Requirements: RoHS    IMDS    REACH
  

 

No Automotive Requirements? Click Here.


 
Customer Part
Number
Rev Laird Part
Number
Rev * Quantity
& UOM
* EAU
           
           
           
           
           
           
           
           
           
           

EAU = Estimated Annual Usage       UOM = Unit Of Measure 

  • If UOM is not defined on continuous length parts, LT will assume UOM for quoting purposes.
  • Quotation requests will be responded to within 24-48 hours for standard quotations, and longer for custom parts or requests greater than 10 lines.
  • All quotations and sales are subject to Laird Technologies standard terms and conditions of sale.
  • If additional drawings or customer spec sheets, data sheets, illustrations, catalog pages, etc. are required please indicate this by selecting YES in response to the above question, “Do you have additional documentation to submit for this RFQ?” Please note that items without a Laird Technologies Part Number will require a customer drawing.
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