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    Phone (814) 234-7044
    Fax (814) 237-6549
    Address 60 Decibel Road
    Suite 108
    State College, PA 16801
    E-Mail General Info
    Customer Service
    If you would like Coil Specialty Company to Quote your design request, plese fill out the form below. You should fill out as many fields as possible so that we can get you a detailed quote. Be sure that you complete all of the required fields marked by a red asterix. (*). Thank you for choosing Coil Specialty Company.

    Company Information
    Company Name: *
    Street: *
    City: *
    Zip Code: *
    State: *
    Contact Information
    Contact Name: *
    Phone Number: ( )--*
    Fax Number: ..--
    E-Mail Address: *
    Part Information (Optional)
    Referance Number:
    Brief Part Description:
    Electrical Information (Fill in all that apply)
    Core Type:
    Power Rating:
    Crirical Demensions:
    Regulatory Specifications:
    Current: *
    Voltage Ratio:
    Other Information:
    Types Required (Optional)
    Please Explain the Finish Type you wish to Have:
    Please Explain the Termination Type you wish to Have:
    Please Explain the Hardware Type you wish to Have:
    Product Quanity and Drawings
    Quanity: *
    Please Check Box if you would like to include A File Attatchment Check if you wish to add drawings:
    Attached File 1:
    Attached File 2:
    Attached File 3:
    Attached File 4:
    Other Information
    Date Quote Required:
    Additional Comments:
    Process Request

    Please Review all fields, and when the information is correct press submit. Also, be sure you have completed all of the required fields marked by a red asterix. (*)


    Copyright 2008 Coil Specialty Company, INC.
    Equal Opportunity Employer
    Woman Owned Company