Computed Tomography Quote Request Form Name *FirstLastCompanyEmail *Street AddressCity *State / Province / Region *Zip CodeCountry *Business PhoneMobile PhoneAre you a new or existing client? *NewExistingHow did you hear about us? *Google/Internet SearchReferralOtherWhat keyword/phrase did you search?Who referred you?What "other" ways did you hear of us?What item is being tested?General Category of Scan Measurement / Dimensional Analysise.g., GD&T, QA/QC, First Article Dimensional VerificationGeneral Category of Scan (FA)Failure Analysise.g., Mechanical Failure, Electrical TroubleshootingGeneral Category of Scan (General)General Information / Cross-Sectional Views of Partse.g., Assembled Part Interaction, Assembly Tolerance Stack-Ups, Internal Part Viewing, Solder Joint Presence/AbsenceGeneral Category of Scan (Defects)Defect Identification / Locatione.g., Void or Crack Detection, Mold Shrinkage, Foreign Object DetectionGeneral Category of Scan (Forensics)Forensic Investigatione.g., Legal Cases, Insurance Claim Resolution, Fire InvestigationGeneral Category of Scan (Other)OtherDescribe BelowBriefly describe requested workWhat sort of information are you seeking about the sample?When do you want this service performed?e.g., Next month, December 9th, ASAP, etc.Do you require a Non-Disclosure Agreement (NDA)?YesNoDo you need normal or expedited testing services?Normal ServiceExpedited ServicePlease Attach Any Additional Files You Think May HelpPart DrawingPhotosCAD Filee.g., SolidWorks, AutoCAD, etc.NameSubmit
