ISO 9001:2008 W/DESIGN
CONTACT US AT 330.929.3333

Grinding Media Quotation Request Form

* Required fields  
* Company Name:
* Mailing Address:
* City:
* State/Province:
* Zip/Postal Code:
* Country:
Contact Information
* Contact Name:
* Title:
* Phone:
* Email Address:

What mill are you using?
Mill Manufacturer:
Mill Size:
Mill Model:
What material are you grinding?
What media do you require?
What size media?
What quantity?
How Did You Hear About Us? (check all that apply)
  Google – list keyword if remembered:
Magazine Ad – name of publication:
Press Release
Trade Show – name of show:
Bing Search
Yahoo! Search
Referral from colleague
Past customer
Additional Comments:

Quotation Standards:
All grinding media is quoted F.O.B. Union Process.
Grinding media quotations are valid for 30 days from date of quote.
Payment terms will be specified on the formal quote.

Security: Please click the reCAPTCHA box.