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Thank you for giving us the opportunity to quote your project. Please complete as much of the information below as possible.
Contact Information
Contact Name:
Company Name:
Steet Address:
City:
State:
Zip:
Phone:
Fax:
E-mail:
Date Requested:
Date Required:
Mold Information
   

Type of Mold:

 
Standard (size)
Mud Base
Production Yes!
Proto-Type Yes!
Other (specify)
   
Cavities:  
Number of Cavities
Inserted Yes! No!
   
Steel Type:
Other (specify)
   
Movement:  
Slides (quantity)
Lifters (quantity)
Corepull/Hyd.
Other (specify)
   
Gates:
Other (specify)
   
Cavity Finish:
   
Misc:  
Date Wheel
Parting Line Locks
Engraving Recycle code Part #
Beryllium Mold Max
   
CAD Data:
Files to upload
   
Comments: