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Würth Digital Inventory Services Form A
Email
End Customer Email - Leave Blank if unknown
Ticket Requestor (WAG)
*
Who at WAG is making this request? Select your name from this dropdown menu.
Select your name
Achim Grenner
AJ Strandquist
Alexander Stemper
Andrew Tordanato
Benjamin Cybulski
Darren Brubaker
Ed Tackett
Eduardo Vazquez
Eri Michel
Felix Muench
Grant Michel
Jacob Ayers
Jaidly Anciso
Javier Pacheco
Joe Tonoff
Joshua Barber
Katelyn Lennon
Luke Cunningham
Mason Paul
Michael Johnson
Mikhail Gladkikh
Sabina Terzic
Tyler Brown
Victor Kurtz
Luke Li
Wurth OPCO
WAG if it was directly sent from the end customer
Wurth Industrial US
Wurth MSM
Wurth Construction Services
Wurth Revcar
Wurth Marine Fasteners
Wurth Industry Mexico
Wurth Industry Brazil
Wurth Additive Group
New Business Development - WINA
Wurth Industry Canada
Wurth Australia
Wurth Japan
Wurth France
Deal Name
*
UNIQUE NAME: End user Company/Name if Known & Part Detail
End Customer
If Known
Part Purpose?
Benchmark
Production Part
RFQ
One-Off Request
IP-Owner
File 1
Please note: the file size limits for file upload fields are 100MB for a single file and 500MB in total for multiple files. If you need to share larger files, please share a link to the destination.
File 2
File 3
File 4
File 5
Requested due date
*
Month
/
Day
/
Year
Detailed description
Required Inspection Dimensions
Submit