Metal Spinning | Hydroforming | Tube Forming | Welding/Fabrication | Prototyping | Secondary Machining | Subcontracting

To place an order, please provide the following information:*Required Please.

	Contact Information
	First Name:*	Last Name:*

	Company:*	Email:*

	Address:	City,State,Zip:

	Phone:*	FAX:


	Part Information
	P.O. Number:	Request Date:

	Part Number & Rev.:	Quantity:

	Part Description:

	Material Type:	Thickness:

	If you would like to attach your P.O. or other file to this form, click to Browse, navigate to your file then select "Open" in the dialog box.

	Comments or Notes:

	How did you find us?

Helander appreciates your business. You will receive a confirmation via fax or email within 48 hours.