Request for Quote: Gaskets & Sealing Devices

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:*
EMI/RFI:
Yes No
Sanitary: (Use / Application)
Yes No
SPECs: (ASME, MIL, etc.)
Yes No
Oil / Petro: (Use / Application)
Yes No
Estimated Annual Usage:
Material:
Required Date:
Product Info:
Die Cut
Adhesive Back (PSA)
Gasket Stripping
Sanitary Gasket
Tape
Low Temperature
Molded
O-Rings
EMI / RFI Shielding
Vulcanize / Continuous
High Temperature
Environment & Application:
High Pressure: (Range)
Low Pressure: (Range)
Temperature: (Range)
Chemical: (Type)