Name*
Title
Company*
Phone*
Fax
e-mail*
	* Required

Please Note: Laserage must have a copy of your print in order to complete a Request for Quotation.

Weld joint design?

Lap Joint
Corner "T" Joint
Seam "Butt" Joint

Source of material?

Laserage will supply material
Customer will supply material

First material type?

Stainless Steel Low Carbon Steel High Carbon Steel Spring Steel Titanium Nickel Alloy Nickel Galvanized Steel Aluminum Brass Copper Other
Other, Please specify

First material thickness?

Second material type?

Stainless Steel Low Carbon Steel High Carbon Steel Spring Steel Titanium Nickel Alloy Nickel Galvanized Steel Aluminum Brass Copper Other
Other, Please specify

Second material thickness?

Weld depth?

.003 - .010 (.076 - .254 mm)
.011 - .020 (.279 - .508 mm)
.021 - .030 (.533 - .762 mm)
.031 - .040 (.787 - 1.016 mm)
.041 - .050 (1.041 - 1.270 mm)
.051 - .060 (1.296 - 1.524 mm)
.061 - .070 (1.549 - 1.778 mm)
.071 - .085 (1.803 - 2.159 mm)
(.085" Maximum depth)

Quantity to quote? (Check all that apply)

10 pcs.	50 pcs.
100 pcs.	250 pcs.
500 pcs.	1,000 pcs.
2,500 pcs.	5,000 pcs.
10,000 pcs.	50,000 pcs.
100,000 pcs.	500,000 pcs.

Other, Please specify

How will your print be arriving?

Print Delivery Method: Federal Express / UPS E-Mail Attachment (.dxf, .igs, .dwg) Fax: 1-847-336-1103 Regular Mail