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...)

Products and Services