Zierick Manufacturing: Engineered Interconnection Solutions
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Request a Quote
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, 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 17 - 14?*

Alternative Contact Information (Engineering/Purchasing)
First Name
Last Name
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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
Is customer open to Zierick recommended BASE MATERIAL? Yes   No
Is customer open to Zierick recommended plating specification? Yes   No
Is preplated material acceptable (i.e. bare edges)? Yes   No
Is burr of 10% material acceptable? Yes   No
Are Zierick tolerances acceptable? Yes   No
Are manufacturing tolerances of +/-0.005" acceptable? Yes   No
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 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.
If you feel you need additional information, or would like to immediately contact a Zierick representative, please feel free to call Zierick at 800-882-8020 or even fax us a request for specific types of information at our fax number: 630-296-8836.


Thanks for providing us with this information; we will contact you as soon as possible. We look forward to working with you.

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