Fast Quote | Brown-Campbell Company

Brown-Campbell Company

800-472-8464

Specialty Steel Manufacturer,
Fabricator & Distributor Since 1952

Fast Quote Request Form

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Contact Information

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Fax:

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Shipping Information

Shipping same as contact info.

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Comments:

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Product InformationNote: Width & Length should be specified in Inches, up to three(3) decimal places.

^†Indicates that the product is an alternative to the item number specified in the "Alt To" field. If indicated, we will provide separate quotes for each alternate.

<div class="a-row a-spacing-base">    
    <div class="grid_30">
      <div class="field">
        <label class="product">Item#</label><label class="padding5 margin-left10">{0}</label>
        <input type="hidden" name="item_number[]" value="{0}" />
       </div>
    </div>
    <div class="grid_1">
      <div class="field">
        <label for="item_qty{0}" class="product">Qty<span>*</span></label>
        <input type="text" name="item_qty[]" id="item_qty{0}" autocomplete="off" class="input-full" />
      </div>
    </div>
    <div class="grid_3 alpha">
      <div class="field">
        <label for="description{0}" class="product">Description<span>*</span></label>
        <textarea name="description[]" id="description{0}" class="input-full"></textarea>
      </div>
    </div>
    <div class="grid_1b alpha">
      <div class="field">
        <label for="width{0}" class="product">Width<span>*</span><small>(in.)</small></label>
        <input type="text" name="width[]" id="width{0}" autocomplete="off" maxlength="7" class="input-full" />
      </div>
    </div>
    <div class="grid_1b alpha">
      <div class="field">
        <label for="length{0}" class="product">Length<span>*</span><small>(in.)</small></label>
        <input type="text" name="length[]" id="length{0}" autocomplete="off" maxlength="7" class="input-full" />
      </div>
    </div>
    <div class="grid_2b alpha">
      <div class="field">
        <label for="material{0}" class="product">Material/Finish<span>*</span></label>
        <select name="material[]" id="material{0}" class="zone">
<option value="" selected="selected"> --- Please Select --- </option>
<option value="carbon">Carbon</option>
<option value="galvanized">Galvanized</option>
<option value="304ss">304 Stainless Steel</option>
<option value="316ss">316 Stainless Steel</option>
<option value="aluminum">Aluminum</option>
<option value="fiberglass">Fiberglass</option>
<option value="copper">Copper</option>
<option value="pvc">PVC Coated-Black</option>
</select>          
      </div>
    </div>
    <div class="grid_1 alpha">
      <div class="field">
        <label for="alternative{0}" class="product">Alt. To<sup>†</sup></label>
        <input type="text" name="alternative[]"  autocomplete="off" class="input-full" />
      </div>
    </div>
    <a href="javascript:void(0);" class="remove_prd" id="delete-row">Delete</a>
    <div class="a-row a-spacing-small"></div>
    <hr />    
  </div>

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