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Custom Optics/Fibers Order Form

Thank you for your interest in Michigan Aerospace Custom Optics or Fibers. We’re streamlining our
quoting process through this online form to supply key information that will assist us in better
understanding your product requirements. Please fill out and submit the form below, and one of our
representatives will contact you right away to quote your request.

*Note that all contact information are mandatory fields.

Required Ship Date:

Best Time to Call:

*Indicates mandatory fields (Enter N/A if the field
does not apply to your request.)

*Enter Quantity:

*Indicate category type:

*Indicate the Type of Cable:

*Indicate the Fiber Type:

*Provide required Fiber Diameter:

*Provide required Type of
Connector:

*Enter required Length:

Please use the following field to submit any comments or questions: