West Bend Machine Works, Inc.   


W3415 State Road 67  ♦  Campbellsport,   WI   53010
   Phone (920) 533-4700     Fax (920) 533-4722
      E-mail:  sales@westbendmachine.com



For a price quote, please fill out the request below and a representative from West Bend Machine Works, Inc. will be in touch with you within 72 hours.  If you have prints or other documents that need to accompany the RFQ, please submit them via separate e-mail to sales@westbendmachine.com or fax them after submitting this form.

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* Company Name 


* Contact Name 
  Title 

  Address 

  City, State, Zip 
    
* Phone 
   * Extension       Note:  If no extension please enter N/A.
  Fax 
* E-Mail 

Please select the item(s) that you would like to receive a quote for (check all that apply) and note that each RFQ should have an individual submittal:


  MILLING
  RFQ #              Part #                               Drawing #                         Revision Level
            

 Run Qty 1         Run Qty 2           Run Qty 3          Run Qty 4              Est. Annual Usage (# of Parts)
                   

Target Price 1        Target Price 2         Target Price 3        Target Price 4       Target Annual $
                                   

  TURNING
  RFQ #              Part #                               Drawing #                         Revision Level
            

 Run Qty 1         Run Qty 2           Run Qty 3          Run Qty 4              Est. Annual Usage (# of Parts)
                   

Target Price 1        Target Price 2         Target Price 3         Target Price 4       Target Annual $
                                    

  DEBURRING
  RFQ #              Part #                               Drawing #                         Revision Level
            

 Run Qty 1         Run Qty 2           Run Qty 3          Run Qty 4              Est. Annual Usage (# of Parts)
                   

Target Price 1        Target Price 2         Target Price 3        Target Price 4       Target Annual $
                                   

  ASSEMBLY
  RFQ #              Part #                               Drawing #                         Revision Level
            

 Run Qty 1         Run Qty 2           Run Qty 3          Run Qty 4              Est. Annual Usage (# of Parts)
                   

Target Price 1        Target Price 2         Target Price 3        Target Price 4       Target Annual $
                                   

  MACHINE COMPLETE
  RFQ #              Part #                               Drawing #                         Revision Level
            

 Run Qty 1         Run Qty 2           Run Qty 3          Run Qty 4              Est. Annual Usage (# of Parts)
                   

Target Price 1        Target Price 2         Target Price 3        Target Price 4       Target Annual $
                                   
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