ATTN:
DATE:

FROM:
DEPT:
E-MAIL:


ITEM PART NUMBER REV. REQUIRED QUANTITY DUE
DATE
DESCRIPTION/
COMMENTS
1
2
3
4
5

MATERIAL:
Supplier furnished    Customer to furnish

PROCESSING:
Use any customer approved source, if processing applies to this order.
Use or customer approved source, if processing applies to this order.
Use only approved source, if processing applies to this order.

INSTRUCTIONS:
Mfg. to complete drawing
Any tooling or non-recurring charges to be quoted as a separate line item.

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