GASKET / SEALING PAD QUOTATION REQUEST FORM

(Requesting Company: ____________________________)
(To Supplier: ____________________________)

We hereby request a quotation for Gaskets / Sealing Pads with the following detailed specifications:

1. Project / Application Information

• Project name: _______________________________________________

• Installation location / area: ___________________________________

• Medium / application fluid: ____________________________________

• Working pressure: ___________ bar

• Working temperature: ___________ °C

• Quotation required before (date): ________________________________

2. Items for Quotation

3. Key Technical Parameters

• Material: EPDM, NBR, PTFE, graphite, metal, or special composite

• Dimensions: Outer Diameter (OD), Inner Diameter (ID), Thickness

• Working pressure & temperature: specify min / max

• Standards: ANSI, DIN, JIS, ISO, or special requirements

• Operating environment: water, chemicals, steam, oil, gas, outdoor conditions

• Required properties: corrosion resistant, heat resistant, pressure resistant, vibration resistant, chemical resistant, aging resistant

4. Documentation Requirements

• CO, CQ

• Technical drawings / datasheet

• Product catalog

• Test report (if available)

• Installation & operation manual

5. Quotation Requirements

Please provide:

• Unit price for each type / size

• Lead time (delivery time)

• Payment terms

• Warranty & technical support

• Quotation validity period

6. Contact Information

• Contact person: _______________________________________________

• Company: _____________________________________________________

• Phone / Zalo: _________________________________________________

• Email: _______________________________________________________

Thank you for your cooperation. We look forward to receiving your detailed quotation.

Signature: _____________________________________
Date: ___ / ___ / ____
Position: ______________________________________