Request For Quote

Automated Industrial Motion
Kurt Witham - Sales
5627 Airline Road
Fruitport, MI 49415

Toll Free	1-800-933-0404
Telephone	1-231-865-1800
Fax	1-231-865-1802
Email	kurtw@aimcoil.com

Welcome to the Automated Industrial Motion Online Quote Request Form. Please provide us with some basic information about your company and the application so that we may better understand your manufacturing need.

Name:	Part Type:
Company:	Wire Diameter:
Street address:	Material Type:
City :	Part Outside Diameter:
State:	Number of closed coils on ends:
Zip Code:	Number of open coils:
Telephone:	Required production rate:
Fax:
Email Address:
Description of application and/or other pertinent information:

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