Need Samples or a Quote?

To request material samples, or a quote for prototypes or production parts, please fill out the form below or you can call us at (717) 227-5400 for assistance. Most quotes and prototypes (on in-stock material) can be completed in two business days. We will be in touch if we need more information about your specific technical requirements. NOTE: All red fields are required.

    Request
    (check all that apply)*

    Material SamplePrototypesQuote/Price

    Project Description
    (key words or project title)*

    Describe your Application
    (what will the part be used for?)

    Part or Drawing Number

    Attach Drawing or File

    Raw Material Supplier & Description
    (if known)

    Estimated Annual Quantity Required

    Estimated Per Order Quantity

    Unit of Measure

    Packaging/Labeling Requirements

    First Name*

    Last Name*

    Company*

    Job Title

    Address

    City

    State

    Zip

    Phone*

    Email*

    The information collected will be used for the sole purpose of fulfilling your request and will not be shared with third parties or anyone outside of Topflight.