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Quote / order form
A & J Cases
11121 Hindry Avenue
Los Angeles, CA 90045
 (800) 537-4000 toll free
 (310) 216-2170 voice
 (310) 216-2694 fax

Please complete this form and press send at the bottom of this page. You may also print and fax the form. Once received by web-form or fax, we will confirm your order at the contact information below. If you use this as a web-form, you will immediately receive a confirmation printout for your records. Please contact us if you have any questions.
Client information
Your name Company
Street address 1 Title
Street address 2 Phone
City Fax
State / Zip Email
Contact me when Contact me by
Case design elements
Project/case name A & J Part # (help
Quantity of this case Specify construction

NOTE: If you don't know the case dimensions,
please include the part dimensions that the case(s) are intended for below.

Interior length (help) inches Specify laminate
Specify weight
of items
Lbs
Interior height (help) inches Interior width (help) inches 
Case color Case style (help
Options 1 Rackmount?
. . Rackspace units
. . Rackable depth
Other design notes
Items to go in this case

This section is for listing the actual item(s) you intend to use this case for. Please include sketched drawing or Equipment specifications sheet or data, by using the "Notes" section of this web-form, or fax directly to us at the number above. If faxing, be sure to include a printout of this form when it's completed. 

Part name/model Quantity Weight each Part size each
L W H
Case interior

Bare wood interior

Foam only

Carpet

Black stained interior

Foam filled (w/ptrn) Vinyl
Dividers: Fixed Removable Foam-lined (inches) Corduroy
*Specify inches
Optional features / Notes:
General design notes
Use as much space
as necessary.
EXAMPLES: "Key lock - Card Holder - Casters, etc.".
Ready?
See? That wasn't so bad. Check your information and press "SEND" at right. Your request will be immediately sent to the desk of our estimator for prompt action. Be sure all the contact information is complete above, and press "Send" only once. Thanks again! 
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