ExtruMed - Precision Tubing Solutions






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CONTACT INFORMATION

CROSS-SECTION SKETCH

* Company:

* First Name:

* Last Name:

* Address 1:

Address 2:

* City:

* State:

* Zip:

* Country:

* Telephone:

Fax:

* E-mail:

Job Function:

Other:

Do not include my address in mailing list.

TUBING SPECIFICATIONS

Materials:

If Other:

Material/Manufacturer:

Material Grade/Durometer:

Tubing Design:

CROSS SECTION

If the desired cross section does not appear in this menu, please fax a sketch or design after completing this form.

Use this form to describe your desired custom extrusion. Enter your contact information, and submit the request directly to our staff. If you prefer, you also may print out the PDF form listed below, fill it out and fax it to:
1-714-993-4141.

Download Worksheet


Fillers:

If Other:

Color:

Pantone#:

Heat Shrink
Tubing Dimensions:

Minimum Expanded ID:

Maximum Recovered ID:

Recovered WT:
	±
Length:
	±

Tubing Dimensions:

SILICONE SECONDARY OPERATIONS
Silk Screening, Slitting, Punching, Beveling, Functional testing and more. For more information call:
414-423-0550
Or visit us on the web at:
www.vestainc.com

ID:		±
OD:		±
WT:		±
Length:		±

COMMERCIAL
Quantity:

Date Required:

Target Price:

Production:
Quickturn:
R&D:
Special Requirements:

*Security Code: Please enter 5 digit security code in box above before you submit your request.