Molding Quote Request - Southern Michigan Rubber

Molding Quote Request Form

The following form is for Lathe Cut items only. If you require a different type of pricing or have general questions you can fill out our general contact form here.

Company Name*
Contact Name*
First Last
Phone*
Fax
Email*
Enter Email Confirm Email
Material & Durometer*
Material Line Call-out*
Quantities*
Please fill out the dimensions needed below.
Enter some notes about your project.
Attach drawings or prints.
Max. file size: 50 MB.
Attach drawings or prints.
Max. file size: 50 MB.

Molding Quote Request Form

Please fill out the dimensions needed below.