Items marked(*) are required.
*Contact Name:
*Company Name:
Title:
*Phone Number (with country, city, area codes):
Fax Number (with country, city, area codes):
*Email Address:
Mailing Address
*Address 1:
Address 2:
Address 3:
Postal / Zip Code:
*Country:
Shipping Address / If Different Than Above  
Same as above
*Address 1:
Address 2:
Address 3:
Postal / Zip Code:
*Country:
Inquiry / RFQ Reference Number:
NOTE: Drawing(s) should indicated machine surfaces, special marking, costing, if any
NOTE: If more than one component, please e-mail the details of the component and the drawing to "marketing@bangaloremetallurgicals.net"
Attach Drawings
*Quantity Required:
*Weight:
Weight Details: Lbs            Kgs
Estimated  Actual
*Material or Specification:
Patterns Available: Yes  No
If Yes, please describe in details:
   


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