REQUEST FOR QUOTATION

Customer

Attention:

Div. Of:

Request By:

Address:

Inquiry #:

Delivery Req'd:

City, State:

User:

ZIP: SPECIFICATION

Phone:

FAX:

	Number of Machines Required:

Storage Pieces Hours

Part Name: Number:

Cu./Ft. Sec./cycle load time Sec./cycle (Total)

Type of Part (please describe):

Weld Nut Weld Stud Production Rate (actual Total) Pc./Minute: Number of Paths: Pc./Hour: Part Discharge Height: on Power: AC DC Voltage: Paint: Color Hertz: Brand: Spec. #: " Centers Condition: Dry Wet Oil Scum Oil Dripping Soft Hard Magnetized Special Orientation: Diameter to Diameter End to End Side to Side Rolling Sliding Axis Horizontal Axis Vertical Axis Degrees. From Horizontal Face Selected End Selected Radially Clean Dirty Delicate Burrs Chips Tramp Mixed Parts Coatings Describe Operation Being Fed:

Other