Your Name:
Email Address:
Company Name:
Position:
Product Name
Product Description
Estimated Monthly Volumes
Start Date
Return Quote Date

 List the current job titles and the quantity of people in each position based on the volumes required:

List the equipment and the quantities, the electricity (voltage, single or 3 phases, amperage), water, air and venting required.

How much space do you require for:

 Office
Production
Warehousing
Receiving/Shipping
Inspection
Other
Number of shifts required:
Do you need a separate building or an enclosed area within our incubator building? 
Do you need warehousing space and service on the US side?
Are there any current OSHA and EPA considerations for your operation?

Yes    No  

Do you require a clean room?

Yes    No

Do you want to connect to our broad band internet / email service ($ 42/month)?

Yes    No

Do you want order fulfillment services? Yes    No
FOB: Nogales, AZ  Other: