Request For Quote

Thank you for your interest in having Fairchild service your needs. In order to best serve you, please fill out the information below with as much detail as possible so that we can provide you with a prompt and thoughtful reply. If you have more questions prior to filling this out, scroll down the the bottom of the page for our contact information.

    Contact Information

    Name*:

    Job Title*:

    Phone*:

    Email*:

    Website:

    Company Name*:

    City*:

    State:

    Country*:

    Project Identification

    Customer Part Number

     

     

    Part Description*:

    * For PrototypeFor Production

    Quantities and Pricing

    Annual Usage*

    Target Price (USD$) *

    Units*

    Procurement Requirements

    Target Timeline to Receive Production

    PPAP Required?*

    PPAP Level

    Package and Shipping Requirements*

    Case Quantity Preferred

    Units

    Physical Specifications



    Project Artifacts Available to Upload

     Physical Samples

     Other Documents

     Test Jig

     Picture(s)

     Mating Piece

     2D Print(s)

     Accessories

     3D Part File(s)

    Please upload any available files

    Additional Information (Material type, adhesive requirements, specific functions, comes in contact with etc...)

    475 Capital Drive
    Lake Zurich, IL 60047
    Phone: 847.550.9580

     

     

    Designed in the USA.
    Sourced with our customer in mind.