Request a Quote: Zierick Manufacturing Corporation

Providing innovative solutions to complex interconnection requirements for over 80 years

Finishing and Assembly

Quality

Request a Quote

Please complete this form to request a quote for a custom solution. The information you provide below will allow us to better serve you. The more detail given, the better we can tailor our response to your specific need. If you would like to request information about connectors or are looking for the contact us form for Zierick.com, please use this page.

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Primary Contact Information
First Name*
Last Name*
Title
Company*
Address*
City*
State / Province*
Zip*
Country
Phone*
Fax
Email*
(Anti-Spam) What is 10 + 6?*

Alternative Contact Information (Engineering/Purchasing)
First Name
Last Name
Email
Telephone
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Describe your quote request here, or fill out the fields below

Business Information
Target Price: Tooling		Target Price: Parts (/M) *
Estimated Sales (this appl.) *
Date(s) Needed	1. 2. 3.
Quote Quantity *
Prototype
Release Quantity *
Pilot Run
Product Life
Quote Quantities	1. 2. 3.
	4. 5. 6.
* Based on forecasted annual usage (min 100M)

Application Information
Describe quote requirement.
Describe application and how this part fits into it.
Customer P/N:
Rev. Level:
New Tool?	Yes No
Is the part already tooled up with another company?	Yes No If yes, why do you need Zierick to retool?
Is customer open to Zierick recommended BASE MATERIAL?	Yes No If No, explain why not.
Is customer open to Zierick recommended plating specification?	Yes No If No, explain why not.
Is preplated material acceptable (i.e. bare edges)?	Yes No If No, explain why not.
Is burr of 10% material acceptable?	Yes No If No, is burr in one direction only, acceptable? Yes No
Are Zierick tolerances acceptable?	Yes No If No, explain why not.
Are manufacturing tolerances of +/-0.005" acceptable?	Yes No If No, explain why not.
Which format should stamped parts be supplied in?	Loose Piece Continuous strip Tape & Reel
If assembly equipment is required, select one of the following:	Model 7000 Model 9700 Surf-Shooter SMT Surf-Shooter SMT Loose Piece Pin Feeder
Attach Drawing File	Attach file here. The following file formats are accepted: jpg, tif, bmp, gif, pdf, doc and xls. Note: If your file is large, please be patient as the form may take some time to submit.

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