Quote Form
* Denotes that a field is required.
  Date:  5/26/2006  Status:  new       
Customer Information
*Company: 
*Contact: 
*Address: 
*City: 
*State: 
*Zip: 
*Phone: 
*Fax: 
*Email: 
  * Amerimax Coated
       Products, Inc.
215 Phillips 324 Rd
Helena AR 72342
1411 North Daly St.
Anaheim, CA 92806
*Order Entry:          *Quantity: 
Metal Specifications:
*Bare rolled-to Gauge:    *Alloy:     *Width: 
*Grade/Temper:    *Substrate: 
*Paint Specifications: *Required for Painted 1
Top Finish
*Color: 
*Vendor Specified: 
Primer: Resin Type:
*Top finish: Resin Type:
Backside
*Color:
*Vendor Specified: 
Primer: Resin Type: 
*Back: Resin Type: 
*Laminating: 
*Painted Over? 
Product Physical Properties:
Top Finish Back Finish
*T-Bend: 
*Gloss: 
Color Tolerance: (If known)
Emboss Pattern: 
Emboss Depth:
(If known)
Packaging Specifications
*Core Size: 
Wind: 
*Min Coil Wt.: 
*Max Coil Wt.: 
*Coil Eye:
Num. Coils/Skid: 
Seperator Type:
Qty Tolerance (+/-):
Market Information: 
*End Use: 
Current Supplier:
List Key Customer Requirements or Questions (i.e. Flatness, camber, etc.):
Warranty Requirements:
*Shipping Specs (i.e. Flatbed, van, etc.):