Name
Where did you find IRD Glass?
If other:
Company Name
Phone
E-mail

What is the function of the part you are requesting?



What is the material of the part?
   
Are other materials acceptable?
 

What is the shape of the part?
 


What are the dimensions of the part?
Diameter
Tolerance
Length
Tolerance
Width
Tolerance
Thickness
Tolerance

What are the surface requirements of your part?
 
Polished Scratch/Dig
Unpolished Roughness Spec
Allowable Chip Size
Tolerance
Bevel Size

Does your part require a coating?
What type of coating?
What wavelength or Range?
Clear Aperture of Coating?

What are the quantities you are requesting?


What are your anticipated annual quantities?