Customer DataCompany name*Company Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Telephone*FaxContact name*Contact position*Contact email* Request for QuotationRFQ#RFQ reply by date (MM/DD/YY)*RFQ due date should be at least 2 calendar days from "today's date". For immediate service, please contact the Estimating Department Supervisor directly at 413-781-4651 at ext 393. MM DD YYYY Total quantity*Period of time (Weeks, Months, Years)*Typical lot size*Part DataPart number*Revision letter or number*Name of part (description)*Design authority*Surface area (if Applicable)Part WeightDepict or list critical surfacesAcceptable contact areas for fixturing during processingAttach vendor operation sheet Drop files here or Attach design authority drawing* Drop files here or Base MaterialMaterial alloy*Hardness (in Rockwell C Scale)Specification (i.e. AISI, AMS)*Condition (i.e. Carburized, nitride, other)Finish DataName of type of finish*Specification of finish, any applicable deviations, amendments, PSD, etc.*Thickness rangeApprovals required to processOther RequirementsSpecial test requirements (not including thickness, adhesion, dimensional determinations)Special packaging or handlingIs a frozen process required (i.e. SPS, GE, ESA, PWA, Data Card [Rolls Royce], etc.)?Is a first article required?Is a source inspection required?Pratt & Whitney requirement(s) completeIs this processing requirement(s) a repair? If yes, provide required documentation (case record, concession, etc.)Additional CommentsAttach primer, paint, dry film lube or adhesive, technical data sheets and qualified manufactured product list (if applicable). Drop files here or F.A.A. / EASA Certified Repair Station WorkEngine manual part number, SOW, Chapter/section number, repair number, task/subtask number, certification type required: C of C / FAA 8130Other special technical requirementsExport Regulatory Information All parts that are being shipped outside the United States by Fountain Plating Company (including Canada and Mexico) must have the Export Regulatory Information section filled out completely.Parts Exported Outside of United States?*YesNoThis Request for Quote is for items controlled by the US government and authorized for export only to the country of ultimate destination for use by the ultimate consignee or end-user(s) herein identified. They may not be resold, transferred, or otherwise disposed of, to any other country or to any person other than the authorized ultimate consignee or end-user(s) either in their original form or after being incorporated into other items, without first obtaining approval from the US government or as otherwise authorized by US law and regulations. Relevant engine model*Military or civilian?*Is product designated as a Defense Article under ITAR part 121 of the US Munitions List*YesNoHarmonized Tariff Schedule?*Please provide the Export Control Classification Number (ECCN) as described in the Commerce Control List (CCL) of the Export Administration Regulations (EAR).*Please describe the product and it’s intended use. Be specific to application and functions.*Who is the end user? Please include full address and Country of end user.*Please provide name and address of the freight forwarder for parts to be returned.*Please provide the contact information of your customers broker, if applicable.The following information is required for the processing of all Pratt & Whitney parts (only);Pratt & Whitney’s Purchase Order under which the foreign entity manufactures or provides technical assistance for the part at issue.*Pratt & Whitney’s authorization (i.e. MLA, TAA) governing the foreign entity’s manufacturing of or provision of technical assistance.*
