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This form can be sent to the Roll Coater staff one of two ways. Fill in all applicable fields and
then either click the button at the bottom of the form to auto-email, or print the completed form
and fax to 317.467.6402 (attention Quoting Department). Responses will be sent via fax.
Please provide all requested information. Required fields contain a *.


Contact InformationName:*Company:*Phone:*Fax:*Address:*E-Mail:*End Customer:*End Use:*
Reference QuoteDo you have a previous Roll Coater quote that you would like for us to reference or revise?
Substrate*Select one of the following substrates to be prepainted:Note: Roll Coater does not purchase nor supply the base metal.Specify, if Other:
Size SpecificationsSpecify thickness and width in inches, and quantity in pounds.Minimum Decimal Thickness:*InchesWidth:*InchesPoundsQuantity to be painted:*Estimated Annual Usage:TonsIf additional sizes and quantities are required, please place them in the "Additional Information and Comments" section.
Packaging ParametersShipping Style:*Fiber I.D. Cores (y/n):*Maximum Coil Weight:*Pounds
Coating RequirementsPaint Manufacturer: Specify, if Other: DescriptionManufacturer's CodeDFT RangeTop Primer:Top Finish:Bottom Primer:Bottom Finish:Specified PreTreatment:For multiple pass systems, please add additional paint requirements in the "Additional Information and Comments" section.
Additional ProcessingIs Slitting Required?:*If yes:Slit Width:Inches# of Mults:Max Skid Weight:PoundsIs Tension Leveling Required?:*Embossing Pattern:Strippable Coating:
Pricing*Please pick from the following as the standard for pricing that you would like on your quote:

Additional Information and Comments
                                 ***If a Quote Request Number is not displayed after clicking the Submit button, scroll through the quote request looking for messages in red or Submit again.

8440 Woodfield Crossing Blvd.  •  Building 2, Suite 500  •  Indianapolis, IN 46240

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