Custom Case Estimate Request Form
Privacy Policy
(All information supplied by you in this form is solely for the purpose of providing you with information on your estimate and our products)
State/Prov.: select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming --------------------select--------------------- Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other
Postal code/Zip:
Country: Select Canada United States Other Australia Aruba Belgium Brazil Cyprus Germany Spain France United Kingdom Hong Kong Japan South Korea Netherlands Norway New Zealand Singapore Venezuela
Phone:
Fax:
Preferred Method of Payment:
select (optional) Purchase Order (OAC) Visa Mastercard American Express Discover Lockit TM Smart Card Wire Transfer Money Order Company Check Certified Check
Custom Designed Cases (Basic Options)
You can find pictures of our standard options by clicking Here
Wall Thickness: Select Option 1/4" 3/8" 1/2" Case Style: Select Option Hinged Lid Removable Lid Pullover (tall lid/short base) Removable Front Removable Front & Back Rack Mount Shock Mount Rack Qty.:
Wheel Options: Select Option Tilt wheel w/retractable handle 3" Swivel 4" Swivel 4" Swivel (2), 4" Swivel/Brake (2) None Exterior: Select Option ABS (lightest) Aluminum Fiberglass Hexagrip Birch Plywood
Dividers: Select Option None 1 2 3 4 5 More (specify in comments) Foam: Select Option Custom (Determined by us) Custom (Specified by Customer) 1/2" Ester (soft) 1/2" Etha (firm) 1" Ester (soft) 1" Etha (firm) 2" Ester (soft) 2" Etha (firm) Custom Cutouts (determined by us) Custom Cutouts (specified by you) Other (specify in comments)
Catches: Select Option Regular Recessed Surface Mount Locks: Select Option None Keyed (recessed) Padlockable (recessed) Hasp (surface mount) keyed (surface mount) Card Hold.: Select Option None 3" x 5"
Important Notes:
1. For computer monitors we require several more dimensions than L x W x H.
You can fax us the
Monitor Specification Form
or E-mail
Monitor Specification Form 2
Flat LCD Monitor Specification Form 3
2. If your equipment has an irregular shape please be sure to notify us of any protrusions that extend beyond the L x W x H dimensions you provide us with.
Specifications of items to be packaged
----Item Description / Model --------- Length -------- Width ---------- Height -------- Weight----------------
Item 1 : L: W: H: Wt.:
Item 2 : L: W: H: Wt.:
Item 3 : L: W: H: Wt.:
Item 4 : L: W: H: Wt.:
Item 5 : L: W: H: Wt.:
Item 6 : L: W: H: Wt.:
Item 7 : L: W: H: Wt.:
Item 8 : L: W: H: Wt.:
Item 9 : L: W: H: Wt.:
Additional Comments
Please remember to input your name, email address and phone number before submitting this form. This will enable us to contact you with any questions regarding your submission. (This form will not submit without this information) Providing us with your Address will enable us to determine shipping cost.
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