How to Request a Quote - Secure Components

Request a Quote

Use the form below to request a quote from Secure Components. A sales representative will contact you shortly with a response.

Contact Information
Contact Name*
Company Name*
Organization Type
Company Phone*
Fax
Email*
Enter Email Confirm Email
Order Information
How many unique parts are you requesting a quote for?*
Part 1
Mfg Part Number*
National Stock Number*
Manufacturer
Quantity*
Target Price (ea) USD
Need Parts By:*
Part 2
Mfg Part Number*
National Stock Number*
Manufacturer
Quantity*
Target Price (ea) USD
Need Parts By:*
Part 3
Mfg Part Number*
National Stock Number*
Manufacturer
Quantity*
Target Price (ea) USD
Need Parts By:*
Part 4
Mfg Part Number*
National Stock Number*
Manufacturer
Quantity*
Target Price (ea) USD
Need Parts By:*
Part 5
Mfg Part Number*
National Stock Number*
Manufacturer
Quantity*
Target Price (ea) USD
Need Parts By:*
If you have more than 5 parts you are requesting a quote for, please attach a file below with the parts you are requesting.
File Upload*
Accepted file types: pdf, xls, xlsx, doc, docx, csv, Max. file size: 256 MB.