*
Company:
*
Name:
Address 1:
*
Email:
Address 2:
City:
Zip/Postal:
State/Prov:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
------
AB
BC
MB
NB
NF
NT
NS
NU
ON
PE
QC
SK
YT
Phone:
Ext.
Fax:
* Indicates required information
Please select a process that applies to your part requirements
and answer as many questions as possible
Anodizing
Cadmium Plate
Chemical Film
Hard Chrome Plate
Copper Plate
Electroless Nickel Plate
Passivation
Phosphate Coating
Silver Plate
Dry Film & Paint Coatings
Zinc Plate
Part Number:
Description:
Part Material:
Part Hardness:
Part Weight:
Masking Required
Yes
No
Price for stripping
Yes
No
Certification Required
Yes
No
Type of Nickel:
<-Select->
High Phos
Mid Phos
Nickel w/PTFE
Salt Spray
Yes
No
Thickness of Plate:
<-Select->
.0001 - .0004
.0002 - .0005
.0003 - .0006
,0005 - .0008
Special Req.
Special Req.
Post Plate Coatings:
<-Select->
Clear Chromate
Dichromate (yellow)
Black Chromate
Olive Drab Chromate
No Post Treatment
General Part Size (L)
X
(W)
X
(H)
Area (In
2
) of part (if available)
Coating Requirement:
<-Select->
Yellow Chromate
Clear Chromate
Part Condition:
Machined and oiled
Rusty and scaled
Electroless Nickel need to be hardened after plate?
Yes
No
Type of Phosphate:
<-Select->
Manganese Phosphate
Zinc Phosphate
Micro Zinc Phosphate
Anodize Type:
<-Select->
Chromic Acid (Type I)
Sulfuric Acid (Type II)
Hardcoat (Type III)
Color:
<-Select->
Clear (Hot water seal)
Clear (Nickel seal)
Clear (Dichromate seal)
Black
Red
Blue
Green
Gold
Coating Requirement:
Specification Requirement:
Quote Quantities:
,
,
,
,
,
Desired Quote Date:
In order to provide an accurate quote we require a print in the form of a fax (815-874-8234) or as an e-mail attachment. For your convenience we allow an upload at this point. Please note however, that we support only a single upload, so if there are numerous pages please compress them into a zip file.
Attachment Name:
Please have a Chem Processing Representative contact me by:
Phone
Email
Chem Processing, Inc.
3910 Linden Oaks Drive Rockford, Illinois 61109
1-800-262-2119 Tel: 815-874-8118 Fax: 815-874-8234
* Registered with FAA Drug and Alcohol Testing Program
* Veteran Owned Small Business