Request an Estimate | Micro Instrument Corp

Please fill in the form below to request a quote from Micro. If you would like to talk to a representative, please call: 1-800-200-3150.

Part 1: Client Information

Company:

Company RFQ #*:

Customer Name:

Address:

Address 2:

City:

State:

Zip:

Phone:

Fax:

Email:

Briefly describe what you hope this equipment will accomplish. How do you hope to justify the cost? For what industry is the final product destined?

When would you like the quotation?

Is this quotation for budgetary purposes?

What has been budgeted for this project?

When would you like the equipment delivered?

Do you have prepared detailed specifications?

When do you plan to release the purchase order?

Do you request any options priced separately?

*required