Insert Tooling Order Form for Mail or Fax

Print this Order Form, then Mail or Fax to:

34230 Riviera Drive, Fraser, Michigan 48026
Fax: (586) 296-5802

Company Name
Contact Name
Title
Phone Fax 
Email
P.O. Number
Requisition #
Date Required (example: 01/20/2001)
Ship Via
Master Die Size
O.D.    X I.D.    X Thickness 
Material Type
Temper
Part Number
Drawing Attached
Previous Job #
Quote Number
Other Comments

Ordering As Follows:

Quantity

Material*

Detail Number

Comment

Punch (1)

Spring Pin Yes    No    

Die Button (2)

Lock Pin Yes    No    

Compound (3)

 

Knockout (4)

Shedder Pin Yes    No    

Stripper (5)

Stop Pin Yes    No    

*Unless otherwise directed, tooling material is M-4 on 1-1/2" Inserts, M-2/D-2 on all others.