Click here to print this form

Leader Tech EMI Gaskets Quote Form

For standard product quotes, you may fax this form to (813) 855-3291.

Please note this form is for standard products only. For specialized products, we offer our Design Tech Process. Leader Tech can custom design a product or modify a standard product to meet your needs. Contact us at (813) 855-6921 for more information.

Company Name:
Your P/N:
Rev:
Leader Tech P/N:
Available Finishes:	Bright Finish (Bd) Zinc/Chromate (ZnC) Cadmium/Chromate (CdC) Tin/Lead (SnPb) Bright Tin (Sn) Nickel (Ni) Silver (Ag) Gold (Au)

Quantity	Size	Style	Finish	Length	Or # Fingers
Quote #: Quote Date:

Engineer/Buyers Name:
Phone #:
Fax #:
E-mail:
Questions / Comments:

We now accept Visa, MasterCard, and American Express!