Quick Disconnects RFQ

Please fill out the following form to submit a Request for Quote to any of the following companies listed on  Quick Disconnects
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Select Company Name(s):*

Kent Rubber Supply Co. (MI)
NewAge® Industries, Inc. (PA)
Safeway, a division of The Specialty Mfg. Co. (MN)
Tylok International, Inc. (OH)
KENT Systems, LLC (CO)

Enter Your Contact Info:

Company Name:*
Contact Name:*
Contact Email:*
Contact Phone:
City, State:

Specifications/Questions:

What specifications and/or questions do you have for the manufacturer(s)?
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