Corporate Office
1211 West Water Street
Merrill, Wisconsin 54452
800.842.8033

Request for Quote

This application gathers information from you and lets you submit it to us for a bid.  Only completed applications will go through our bid process. Fields with a * are required.  
Quote Details
*First Name:
*Last Name:
Company Name:
*Email Address:
*Address:
*City:
*State:
*Zip:
*Phone:
Fax:
Customer Quote #:   (if applicable)
*Quote Due Date:   (format: mm/dd/yyyy)
*Description:
*Project Start Date:   (format: mm/dd/yyyy)  (this is the date you want us to go into production)
*Number of Parts: (number of different pieces that make up the assembly)
Customer Part Numbers: (separate #'s with a comma)
*Estimated Annual Usage:
New or Requote:
*Number of Runs:
Quantity Price Breaks: 1: 2: 3: 4:
*Material by:
*Material Certification Required:
Material Specification:
*Prototype or Print Approval Required:
Customer Tooling Available:
*Parts to be Painted:  
Primer:
Finish Level:
Special Packaging Needed:
Special Instructions:
 
* indicates a required field

In addition to the Fabrication Division - AGRA Industries Inc. products and services include commercial and agricultural building systems; grain drying, storage and handling systems; construction; construction equipment; ethanol production; and waste water treatment systems.

 

 

 
   
 

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