Blue Ridge Industries, Inc. - Quick Response Form

Quick Response Request

Use to receive information or quotation.

Company Name:

Contact Person:

Contact Phone:

Email Address:

Information Request:

	*item 1*	*item 2*	*item 3*
*part number:*
*material specification:*
*colors:*
*annual qty:*
*existing mold?*
*mold dimensions:*
*no. of cavities:*
*description of parts:*

Fax any additional information to 540-662-3010

© Blue Ridge Industries, Inc. | 266 Arbor Court | Winchester, VA 22602