Protoshapes, Inc.
FAX SUBMITTAL FORM
517-279-6384

Please print and fill out this form and submit it with your Plans by Fax. If you do not receive a reply within 72 hours,
please contact us at 517-278-3947. You may also contact us when faxing to ensure receipt of  your information.

Name
Street Address
City
State  Zip Code
EMail Address
Telephone (day)
Telephone (evening)
Part or Project Name
Description/Special Information

 

 

 

 

 

 

Has this part been put into production in the past? If so, are there details that you are interested in addressing?
Expected initial production run:

 

Expected future run: