Radiographic Job Questionnaire

In order for us to provide you with a quote please fill out and submit the form below. This will allow one of our experts to review your request and provide an estimate of what services would be required to meet your needs. (* Indicates a required field)

Request for Quote

First Name *

Last Name *

Work Phone*

Cell Phone

Fax Number

Email *

Company *

Department, Division, or Location

Address *

City *

State *

ZIP/Postal Code *

Test Article Information

Please provide a name for the test article. *

Please provide a general description of the test article (weight, intended use, etc)

Cylinder Diameter

Cylinder Length

What materials and/or sub-components are in the test article? *

Describe the test article's internal structure

Please describe your or your organizations primary area of interest

In which portion of the test article are you particularly intersted in, and why?

Are you looking for anomalies/defects and if so, of what type and size? How did you determine the anomalies were present?

Do you need dimensional information, and if so, what is the size of the object(s) or anomaly(ies) on which you need dimensions?

Have you experienced any problems (failures) of this test article? if yes, please describe.

Is there any special handling required for your test article or the resultant data?

Do you need this sample returned to you

If so, by what date?

Tax Exempt?

Exemption certificate number

GSA Qualified?

Additional Comments