Custom Part Request

please fill out the form below to request custom parts

Home / Custom Molded Plastic Parts & Components / Custom Part Request

Name*
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Company*
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Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Product(s) Needed
Please fill out the fields below to make a custom part request.
Description of Part*
Is this an Existing Part?*
If yes, please send a sample to 1655 West 20th Street, Erie, PA 16502
- Yes
- No
CAD Drawing or Part Image Upload
Please submit any drawings or images you have of the part we are quoting and/or the part that needs protected. Files may also be submitted by email to pmi@polymermolding.com
Drop files here or

Max. file size: 2 GB.
Preferred Material and Exposure/Resistance Requirements:*
Color*
Estimated Annual Quantity*
Additional Notes About This Part
- Add Another Part
Add Additional Part
Description of Part*
Is this an Existing Part?*
If yes, please send a sample to 1655 West 20th Street, Erie, PA 16502
- Yes
- No
CAD Drawing or Part Image Upload
Please submit any drawings or images you have of the part we are quoting and/or the part that needs protected. Files may also be submitted by email to pmi@polymermolding.com
Drop files here or

Max. file size: 2 GB.
Preferred Material and Exposure/Resistance Requirements:*
Color*
Estimated Annual Quantity*
Additional Notes About This Part
- Add Another Part
Add Additional Part
Description of Part*
Is this an Existing Part?*
If yes, please send a sample to 1655 West 20th Street, Erie, PA 16502
- Yes
- No
CAD Drawing or Part Image Upload
Please submit any drawings or images you have of the part we are quoting and/or the part that needs protected. Files may also be submitted by email to pmi@polymermolding.com
Drop files here or

Max. file size: 2 GB.
Preferred Material and Exposure/Resistance Requirements:*
Color*
Estimated Annual Quantity*
Additional Notes About This Part
If you need to request a quote or sample for more parts, please give us a call at 814.455.8085
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Polymer Molding Inc.
1655 West 20th Street
Erie, PA 16502

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Fax: 888.257.5566

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Custom Part Request

Product(s) Needed

Add Additional Part

Add Additional Part

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