JCM Industries Forms

Product Letter Request
Product Quotation
RMA Request

"*" indicates required fields

For JCM product submittal, domestic certification or other compliance requests, complete the form below. Your request will be sent directly to the responsible team members. Please allow 2-3 business days for reply.

Contact Information

Name*

First Last

Company Name*

Location / Branch Number*

Contact Phone*

Email*

Product Letter Request Information

Intended Use of Letter*

Submittal

Domestic Certification

Other (describe in notes)

Purchase Order Number

Other Use of Letter*

Products to be Certified*

Product

Quantity

*Click (+) to add more products.

Certified to:

Other

Project Location*

Street Address City State / Province / Region ZIP / Postal Code Country

Contractor Information

Notes

Complete the form below to request a quote. Please allow 2 -3 business days for processing.

*Required Information

Contact and Bid Information

Name(Required)

First Last

Company Name(Required)

Location / Branch Number(Required)

Contact Phone(Required)

Email(Required)

Project Name(Required)

Project Date(Required)

Bid Type(Required)

Domestic(Required)

Product Information

Number of Products(Required)

Product

Product Number(Required)

Quantity(Required)

Type of Pipe(Required)

Pipe Size(Required)

Pipe O.D.(Required)

If transition or reducing, provide second type of pipe below:

2nd Type of Pipe(Required)

2nd Pipe Size(Required)

2nd Pipe O.D.(Required)

For Tapping Products standard design parameters: 150PSI W/P, Water/ Similar Line Content at Ambient Temp - if other, provide information below

For Tapping Product Provide Outlet Size/Type

Other Outlet Size/Type

Working Pressure

Test Pressure

Line Content

Content Temp F

Coating

Hardware

Other Coating

Other Hardware

Gasket

Restraint

Other Gasket

File

Max. file size: 50 MB.

For custom repair product, describe damage to be repaired.

Product 2

Product Number(Required)

Quantity(Required)

Type of Pipe(Required)

Pipe Size(Required)

Pipe O.D.(Required)

If transition or reducing, provide second type of pipe below:

2nd Type of Pipe(Required)

2nd Pipe Size(Required)

2nd Pipe O.D.(Required)

For Tapping Products standard design parameters: 150PSI W/P, Water/ Similar Line Content at Ambient Temp - if other, provide information below

For Tapping Product Provide Outlet Size/Type

Other Outlet Size/Type

Working Pressure

Test Pressure

Line Content

Content Temp F

Coating

Hardware

Other Coating

Other Hardware

Gasket

Restraint

Other Gasket

File

Max. file size: 50 MB.

For custom repair product, describe damage to be repaired.

Product 3

Product Number(Required)

Quantity(Required)

Type of Pipe(Required)

Pipe Size(Required)

Pipe O.D.(Required)

If transition or reducing, provide second type of pipe below:

2nd Type of Pipe(Required)

2nd Pipe Size(Required)

2nd Pipe O.D.(Required)

For Tapping Products standard design parameters: 150PSI W/P, Water/ Similar Line Content at Ambient Temp - if other, provide information below

For Tapping Product Provide Outlet Size/Type

Other Outlet Size/Type

Working Pressure

Test Pressure

Line Content

Content Temp F

Coating

Hardware

Other Coating

Other Hardware

Gasket

Restraint

Other Gasket

File

Max. file size: 50 MB.

For custom repair product, describe damage to be repaired.

"*" indicates required fields

Complete the form below. Your request will be sent directly to the RMA Team. Please allow 2-3 business days for reply.

Contact Information

Name*

First Last

Company Name*

Location / Branch Number*

Contact Phone*

Email*

RMA Information

Purchase Order Number*

Item(s) to Return, Quantities, and Reason for Return*

Overage/Shortage

Quantity Over/Short

Fort shortages, select one

Replacement

Credit

Requests for stock returns, items must be in resalable condition. Provide photos of items to verify condition (image required)

File*

Drop files here or

Max. file size: 50 MB.

Notes*

JCM Industries Forms

Contact Information

Product Letter Request Information

Contact and Bid Information

Product Information

Product

Product 2

Product 3

Contact Information

RMA Information

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