QUOTE REQUEST FORM

Submit completed form: Email to info@rikaufman.com. * Required fields.

CONTACT INFORMATION

First Name *

Last Name *

Company Name *

Email Address *

Phone Number *

City

State

ZIP

PROJECT DETAILS

Industry *

☐ Aerospace ☐ Automotive ☐ Construction
☐ Energy ☐ Marine ☐ Other: _________

Timeline *

☐ Immediate (1-2 weeks)
☐ Soon (2-4 weeks)
☐ Future (1+ months)
☐ Planning Only

Est. Quantity *

Annual Usage

Project Description *

SPECIFICATIONS

Diameter

Length

Construction

Material (Galv, SS, etc.)

End Fittings

Special Requirements / Additional Comments

How did you hear about us?

☐ Search ☐ Referral ☐ Trade Show ☐ Other

Attachments

☐ Drawing ☐ Spec Sheet ☐ Sample ☐ Photo