Company
Name
Phone
Email
Part ID
Ship To Address
Quantity Request (provide range for potential production discounts)
Reason looking for a new solution?
Long OEM lead timesPart becoming obsolete/NLAPrice is too highLow Quantity
Current price per piece?
Current Material
Preferred Material Color
Does the surface need to be smooth?
YesNo
Any special coating/finish?
If so, please list
**Please list values of Stress, Pressure, Temps, and Chemicals when applicable**
What is the purpose of the part?
Will it undergo any Pressure?
Will it undergo any Stress?
Will it undergo any High Temps?
Will it be exposed to any Chemicals?
Will it be exposed to any UV Light?
Will it be Indoors or Outdoors?
IndoorsOutdoors
Does it need to be Food Safe?
If it needs to be Food Safe, is it direct or indirect contact?
IndirectDirectN/A
Critical Features
Critical Dimensions
Testing Requirements
Additional Comments
Attach Engineering Drawings (2D or 3D) **If no 2D or 3D models are available, please send sample parts to the address below.** BDI Additive 252 W Boardman St. Youngstown, OH 44503
If you are working on this project with you BDI Branch Representative, fill out the fields below.
BDI Branch Name
—Please choose an option—BDI – Cleveland (1001)BDI – Pittsburgh (1003)BDI – Warren/Youngstown (1005)BDI Additive (1007)BDI – Richmond (1008)BDI – Akron/Canton (1009)BDI – Dunbar (1010)BDI – Chicago (1011)BDI – Princeton (1013)BDI – Houston (1016)BDI – Hannibal (1017)BDI – Tulsa (1018)BDI – Easton (1020)BDI – New Haven (1021)BDI – Hartford (1022)BDI – Stratford (1023)BDI – Groton (1024)BDI – Albany (1025)BDI – Buffalo (1026)BDI – Rochester (1027)BDI – DuBois/Olean (1030)BDI – Kansas City (1031)BDI – Springfield (1033)BDI – Knoxville (1035)BDI – Clarksville (1036)BDI – Decatur (1037)BDI – Wilmington (1038)BDI – Detroit (1040)BDI – Fremont (1041)BDI – Parkersburg (1042)BDI – Lima (1045)BDI – Grand Rapids (1046)BDI – Indianapolis (1047)BDI – Flint (1048)BDI – New Orleans (1049)BDI – Dallas (1050)BDI – Cincinnati (1051)BDI – Columbus (1053)BDI – Kentucky (1054)BDI – Greenville (1055)BDI – Charlotte (1057)BDI – Winston Salem (1058)BDI – Atlanta (1059)BDI – Orlando (1060)BDI – Waterloo (1061)BDI – Cedar Rapids (1062)BDI – LaCrosse (1064)BDI – Milwaukee (1067)BDI – Duluth (1077)BDI – St. Paul (Gopher Bearing) (1078)BDI – Salt Lake (Pneumatrek) (1079)BDI – Decatur (1085)BDI – Grand Island (1086)BDI – Spokane (Brown Bearing) (1087)BDI – Burley (1088)BDI – California Service Center (1089)BDI – Moses Lake (Columbia) (1110)BDI – Eugene (1114)BDI – Klamath Falls (1115)BDI – Medford (1116)BDI – Roseburg (1117)BDI – Arcata (1118)BDI – Redding (1119)BDI – Tacoma (1120)BDI – Denver (1121)BDI – Omaha (1122)BDI – Portland (1123)BDIExpress Direct (1124)
BDI Representative
BDI Account Number
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