Beswick Engineering: Custom Product Quote

The Custom Product RFQ Form should be used for any product, which has not been assigned a beswick part number. This includes any new products you would like beswick to design/quote according to your specifications provided in this form.

Please fill out this form in as much detail as possible to request a custom item. Most custom items are quoted in 1-2 weeks. Items marked with a n asterisk (*) are required.

I would like a sample of the custom item described below.

Contact Details

Name:*

Title:

Company:*

Address:*

Address (cont):

City:*

State/Province:*

Zip/Postal Code:*

Country:*

Phone:*

Fax:

E-mail:

Company URL:

How did you find us?:

Describe your application:

Similar to Beswick part number:

Estimated yearly usage:*

Desired price:

Please select all that apply:

Thread Size:	Material:	O-ring:
M3 x 0.5	Brass	Buna-N	Pressure range
M5 x 0.8	ENP Brass	EPDM	Temperature range
M6 x 1	303 Stainless	Viton®	Fluid
5/16-24	316 Stainless	Silicone	Flow rate
1/4-28	Aluminium	Teflon®	Tube material
1/16 NPT	Other	Other	Tube ID
1/8 NPT			Tube OD
1/4 NPT
Other

Special Notes

I will e-mail/fax a drawing/sketch of the custom item described above.

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