Request for Quote: Electronic Hardware & Custom Fasteners

State Industrial Solutions
6801 Northpark Blvd., Suite A
Charlotte, NC  28216
Phone: 704-597-0536
Fax: 704-597-0122
E-mail: sales@sisnc.com 

 

Note: Items marked with * are required

Company Name:*
First Name:*
Last Name:*
Phone Number:*
Zip Code:*
Inquiry / Comments:*
Part Number:
Size:
Head Style:
Hardness:
Material:
Plating:
Print Available: If Yes, please follow instruction after submitting this form to upload your print.
Yes No
ROHS Requirements:
Sample Available:
Yes No
Quote Quantity:
One Time Purchase QuantityRelease Quantity Multiple Shipments
Delivery Required By:
Certification Requirements - Please check all that apply
Material Certification
Plating Certification
Heat Treat Certification
Certificate of Compliance
F.A.I.R. (First Article Inspection Report)