First Name
Last Name
Company Name
Daytime Phone () -
Evening Phone () -
Fax () -
Email Address

Address Line 1
Address Line 2
Zip Code

How did you hear about ABD?
What market are you primarily involved?

Product Type: Sewn               Sealed           Both
Product History:
New product Existing product
on the market already on the market
If an existing product, why are you
considering changing vendors?
Market Application:
(How is the product used?)
Drawing Available? Yes    No
Prototype Sample Available? Yes    No
R&D Assistance Needed? Yes    No
Quote In Quantities Of:
(i.e. 5000, 10000, 25000)
Origin Preference: Domestic   Import   No Preference
Lead-Time Requirement:
Budgeted Target Price
Per Unit:
(if known)
Other People Involved with this Project:
Product Specifications:
Personalization Needed?
Hardware Needed:
(i.e. zippers, tubes)
Brief Description of your Company:
(i.e. core capabilities, years in business, business size)