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Watts Specialties - RFQ - Request for a Quote
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Phone: <a href="tel:253-848-9288">253-848-9288</a><br> Fax: 253-848-9295 </p> </div> <h3 style="font-size:18px"><br> You can also call:<br><hr style="width:180px;margin:3px 0px 3px 0px" align="left"> <b>253-848-9288</b></h3> <p style="font-size:17px"> Or Send an email:<br> <a href="mailto:sales@watts-specialties.com" target=_blank>sales@watts-specialties.com</a> <hr style="width:180px;margin:3px 0px 30px 0px" align="left"> <br> </p> </div> <div class="col-sm" style="margin-left:0px"> <script language="JavaScript1.1" src="../scripts/formchek.js"></script> <script type="text/javascript"> function validateForm() { var o = document.forms["TemplateForm"]["Phone"]; o.value = stripCharsNotInBag(o.value,"1234567890"); // if (!isUSPhoneNumber(x) && !isInternationalPhoneNumber(x)) { // alert("o.value = '" + o.value + "'"); // o.focus(); // return false; // } } </script> <link rel="stylesheet" type="text/css" href="requiredformfiles/css/contactformpro.css" /> <form accept-charset="utf-8" method="post" action="contact-recap-process.php" onsubmit="return FCFvalidate.check(this)"> <table border=0 style="font-family:arial;font-size:16px;color:#3a3a3a; line-height:20px;align:center"> <tr> <td colspan=2> <p style="text-align:left">If you are a <b>Distributor</b>, please include your company name below: </p> <input name="Distributor" id="Distributor" type="text" style="width:340px;background:#F0F9FF; margin-top:5px;display:block;border: 1px solid #999;-webkit-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);-moz-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);height:22px" size="20" value="" /></td> </tr> <tr><td colspan=2><br><hr></td></tr> <tr> <td colspan=2> <p>If you are an <b>End User</b>, please include as much information as possible below.</p> <!-- (<i><font style="font-size:13px">Please make sure to include the required fields.<font color=#ff0000>*</font>)<br> --> </td> </tr> <tr><td colspan=2> <table width="95%" style="font-family:arial;font-size:16px;font-color:#121212; line-height:18px;padding:0px" border=0> <tr> <td colspan="2"> <p>Fields marked with <font color="red">*</font> are required.</p> </td> </tr> <tr> <td valign="middle" align="right"> <label for="Name">Name: </label> </td> <td valign="top"> <input size="40" type="text" name="Name" id="Name" maxlength="50" value="" style="width:300px;display:block;border: 1px solid #999;-webkit-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);-moz-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);height:22px" /> </td> </tr> <tr> <td valign="middle" align="right"> <label for="Company">Company: </label> </td> <td valign="top"> <input size="40" type="text" name="Cuscompany" id="Cuscompany" maxlength="50" value="" style="width:300px;display:block;border: 1px solid #999;-webkit-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);-moz-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);height:22px" /> </td> </tr> <tr> <td valign="middle" align="right"> <label for="Address">Address: </label> </td> <td valign="top"> <input size="40" type="text" name="Address" id="Address" maxlength="50" value="" style="width:300px;display:block;border: 1px solid #999;-webkit-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);-moz-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);height:22px" /> </td> </tr> <tr> <td valign="middle" align="right"> <label for="City">City: </label> </td> <td valign="top"> <input size="40" type="text" name="City" id="City" maxlength="50" value="" style="width:300px;display:block;border: 1px solid #999;-webkit-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);-moz-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);height:22px" /> </td> </tr> <tr> <td valign="middle" align="right"> <label for="State">State: </label> </td> <td valign="top"> <select id="State" name="State" style="width:300px;display:block;border: 1px solid #999;-webkit-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);-moz-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);height:22px" /> <option value=""></option> <option value="AK">AK</option> <option value="AL">AL</option> <option value="AR">AR</option> <option value="AZ">AZ</option> <option value="CA">CA</option> <option value="CO">CO</option> <option value="CT">CT</option> <option value="DC">DC</option> <option value="DE">DE</option> <option value="FL">FL</option> <option value="GA">GA</option> <option value="HI">HI</option> <option value="ID">ID</option> <option value="IL">IL</option> <option value="IN">IN</option> <option value="IA">IA</option> <option value="KS">KS</option> <option value="KY">KY</option> <option value="LA">LA</option> <option value="ME">ME</option> <option value="MD">MD</option> <option value="MA">MA</option> <option value="MI">MI</option> <option value="MN">MN</option> <option value="MS">MS</option> <option value="MO">MO</option> <option value="MT">MT</option> <option value="NE">NE</option> <option value="NV">NV</option> <option value="NH">NH</option> <option value="NJ">NJ</option> <option value="NM">NM</option> <option value="NY">NY</option> <option value="NC">NC</option> <option value="ND">ND</option> <option value="OH">OH</option> <option value="OK">OK</option> <option value="OR">OR</option> <option value="PA">PA</option> <option value="RI">RI</option> <option value="SC">SC</option> <option value="SD">SD</option> <option value="TN">TN</option> <option value="TX">TX</option> <option value="UT">UT</option> <option value="VT">VT</option> <option value="VA">VA</option> <option value="WA">WA</option> <option value="WV">WV</option> <option value="WI">WI</option> <option value="WY">WY</option> </select> </td> </tr> <tr> <td valign="middle" align="right"> <label for="Country">Country: </label> </td> <td valign="top"> <input size="40" type="text" name="Nation" id="Nation" maxlength="50" value="" style="width:300px;display:block;border: 1px solid #999;-webkit-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);-moz-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);height:22px" /> </td> </tr> <tr> <td valign="middle" align="right"> <label for="E-mail">E-mail: </label> </td> <td valign="top"> <input size="40" type="text" name="E-mail" id="E-mail" maxlength="50" value="" style="width:300px;display:block;border: 1px solid #999;-webkit-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);-moz-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);height:22px" /> </td> </tr> <tr> <td valign="middle" align="left" colspan=2> <label for="Phone" style="margin-left:40px"><b>Phone Number:</b> <span class="required_star"><font color="red">*</font></span></label></td></tr> <tr><td> </td> <td valign="middle" align="left" colspan=2> <input size="40" type="text" name="Phone" id="Phone" maxlength="50" value="" style="width:300px;display:block;border: 1px solid #999;-webkit-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);-moz-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);height:22px" /> </td> </tr> </td></tr></table> </td></tr> <tr> <td colspan=3 align="left"> <label for="business" class="business"><font color="#ffffff">Human check: Leave blank</font></label><input type="text" style="width:200px" name="business" id="business" class="business" /></td> </tr> <tr> <td valign="top">Industry:</td> <td><input type="hidden" name="hidden_Industry" id="hidden_Industry_1"><select id="Industry_7_1" name="Industry" class="" multiple="multiple"><option value="Education">Education</option><option value="Miscellaneous fabrication">Miscellaneous fabrication</option><option value="Power piping">Power piping</option><option value="Pressure vessel">Pressure vessel</option><option value="Process piping">Process piping</option><option value="Structural piping">Structural piping</option></select><div style="font-weight: normal;color:red; " id="dropdown_Industry_7_1"></div></td> </tr> <tr> <td colspan=2 align="left"><br> Diameter Range:</td></tr> <tr><td colspan=3> <table width="80%"> <tr> <td valign="top"> <input type="checkbox" name="Diameter1" value="1 inch to 12 inch" /> 1" to 12"<br> <input type="checkbox" name="Diameter1a" value="1 inch to 14 inch" /> 1" to 14"<br> <input type="checkbox" name="Diameter2" value="2 inch to 36 inch" /> 2" to 24"<br> <input type="checkbox" name="Diameter3" value="3 inch to 36 inch" /> 2" to 36"<br> </td> <td valign="top"> <input type="checkbox" name="Diameter3a" value="3 inch to 48 inch" /> 3" to 48"<br> <input type="checkbox" name="Diameter3b" value="3 inch to 60 inch" /> 3" to 60"<br> <input type="checkbox" name="Diameter5" value="4 inch to 80 inch" /> 8" to 80"<br> <input type="checkbox" name="Diameter6" value="4 inch to 100 inch" /> 8" to 100"<br> </td> <td valign="top"> <input type="checkbox" name="Diameter7" value="8 to 120 inch" /> 8" to 120"<br> <input type="checkbox" name="Diameter8" value="8 to 140 inch" /> 8" to 140"<br> <input type="checkbox" name="Diameter9" value="8 to 160 inch" /> 8" to 160"<br> </td> </tr></table> </td></tr> <tr><td colspan=2> </td></tr> <tr> <td colspan=3 align="left">Material:<br> <input class="" type="checkbox" name="Material" value="Carbon Steel" /> Carbon Steel <input class="" type="checkbox" name="Material2" value="Stainless Steel" /> Stainless Steel <input class="" type="checkbox" name="Material3" value="Other Alloy" /> Other Alloy</div><div style="font-weight: normal;color:red;" id="checkbox_Material_11_1"> </td> </tr> <tr><td colspan=3 align="left"><br> Max Wall Thickness:<font color=#ff0000>*</font> <input style="width:200px;border: 1px solid #999;-webkit-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);-moz-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5)" type="text" id="WallThick_12_1" name="WallThick" value="" ></td> </tr> <tr> <td colspan=3 align="left"><br> Material Length: <input class="" type="checkbox" name="Length1" value="20' random" /> 20' random <input class="" type="checkbox" name="Length2" value="40' random" /> 40' random <input class="" type="checkbox" name="Length3" value="Weld Coupons" /> Weld Coupons </td> </tr> <tr> <td colspan=3 align="left"><br> Plasma: <select id="Plasma_14_1" name="Plasma" class="" ><option value="">Select</option><option value="Yes">Yes</option><option value="No">No</option></select> </td> </tr> <tr> <td colspan=3 align="left"><br>What types of cuts will you be performing? <span style="color:red;" id="Cuts_20_1">*</span><div style="font-weight: normal;color:red;" id="checkbox_Cuts_20_1"></td></tr> <tr> <td colspan=3 align="left"> <table width="80%"> <tr><td valign="top"> <input type="checkbox" name="Cuts1" value="Straight Cuts" /> Straight Cuts<br> <input type="checkbox" name="Cuts2" value="Elipses" /> Elipses<br> <input type="checkbox" name="Cuts3" value="Holes" /> Holes<br> </td> <td valign="top"> <input type="checkbox" name="Cuts4" value="Miters" /> Miters<br> <input type="checkbox" name="Cuts5" value="Rectangles" /> Rectangles<br> <input type="checkbox" name="Cuts6" value="Saddles" /> Saddles </td> </tr></table> </td> </tr> <tr> <td colspan=3 align="left"><br> What machines are you interested in obtaining more information on?</td></tr> <tr> <td colspan=3> <table width="100%" cellpadding=5 border=0> <tr> <td valign="top"> <div> <input class="" type="checkbox" name="Machines5" value="W-122" /> W-122<br> <input class="" type="checkbox" name="Machines6" value="W-124" /> W-124<br> </td> <td valign="top"> <input class="" type="checkbox" name="Machines7" value="W-242" /> W-242<br> <input class="" type="checkbox" name="Machines8" value="W-244" /> W-244 </td> <td valign="top"> <input class="" type="checkbox" name="Machines9" value="W-362" /> W-362<br> <input class="" type="checkbox" name="Machines10" value="W-364" /> W-364<br> </td> <td valign="top" align="left"> <input type="checkbox" name="Machines11" value="W-484" /> WM-48<br> <input type="checkbox" name="Machines12" value="WM Series" /> WM Series<br> <input type="checkbox" name="Machines13" value="Large Vessel/Dome Cutter" /> Vessel/Domes </td> </tr></table> </td> </tr> <tr> <td colspan=3 align="left"> <input class="" type="checkbox" name="Finance" value="I am interested in Financing Options" /> We are interested in Financing Options</font> </td> </tr> <tr> <td colspan=3 align="left" valign="top"><br> Please give additional comments in the input box.<br> <textarea name="Comments" style="width:98%;height:120px;border: 1px solid #999;-webkit-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);-moz-box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5);box-shadow: 0px 0px 8px rgba(0, 0, 0, 0.5)" MAXLENGTH="4000" WRAP="soft"></textarea> </td> </tr> <tr> <td colspan=2><br> <div style="margin-left:30px"> <script src="https://www.google.com/recaptcha/api.js"></script><div 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