Federal Laboratories Contact/Quote Form
For orders, please fax a P.O. to 716-686-2345
Please fill out this form if you have any questions or comments for us.
11135 Walden Avenue • Alden, NY 14004 USA • Phone (716) 685-6980 • Fax (716) 686-2345
Email Address:
*required
(Enter correctly ALL in lowercase)
Confirm Email:
*required
Confirm Email Address
First Name:
*required
Last Name:
*required
Corporate Name:
*required
Corporate Address 1:
Address 2:
City:
State:
Zip Code:
Country:
*required
Phone Number:
*required
Fax Number:
Product(s) you are interested in:
Message:
Buyer or Supplier:
Buyer
Supplier
*required
Quantity needed (Kilos):
Mesh size required:
Chips or Powder:
Powder
Chips
Frequency of your orders:
Please Select One
Weekly
Monthly
Bi-Monthly
Yearly
Expected volume per month:
Expected volume per year:
How did you find us:
Please Select One
Search Engine
Email
Web Advertisements
Word of mouth
Other
You must fill in the fields marked with a *
