Request Product Info & Price Quote

KALCO METALS, INC.

To request alloy product information and/ or a pricing quotation, please complete the following form which can then be electronically submitted to Kalco Metals, Inc. by clicking the "Submit Completed Form to Kalco Metals" button below.

Please Enter Your Contact Information:

*Name*
*Title*
*Organization*
*Street address*
*Address (cont.)*
*City*
*State/Province*
*Zip/Postal code*
*Country*
*Work Phone*
*FAX*
*E-mail*
*Web-Site*

Please Enter Requested Alloy Name(s) and Quantity in Pounds:

QTY	DESCRIPTION

Choose One of the Following Requested Product Forms:
Investment Casting Ingot Dental Ingot Dental Shot
Foundry Shot Other
What Information Are You Requesting?:
Alloy Availability      Alloy Pricing

Conversion Pricing   Analytical Pricing
How Would You Like Us To Contact You?
Email
Telephone
Fax
Postal Mail

Please Provide Us With Any Additional Information Below:
No additional Information
Enter Today's Date:
-- mm/dd/yy

Please note that you may also print the completed form by selecting the printer button in your toolbar above and then fax the paper copy to Kalco Metals, Inc. FAX: 724-347-2556

KALCO METALS, INC.

40 COUNCIL AVENUE, PO BOX 399. • WHEATLAND, PENNSYLVANIA 16161