Order Form

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*Company Name
*Contact Name
*Purchase Order #
   
Die Information
Attach Profile Geometry
*Die Number
Copy Number
*Die Type
*Die Size
Die Location
*Cavities
Pocket Size
Die Cost
Nitride Die Yes   No
  If yes, cost
   
New Backer Number
Existing Backer Number
Backer Size
Backer Location
Nitrogen Grooves Yes   No
  If yes, cost:
Template Attached Yes   No
Backer Cost
   
New Feeder Number
Existing Feeder Number
Feeder Size
Feeder Location
Feeder Cost
   
New Bolster Number
Existing Bolster Number
Bolster Size
Bolster Location
Nitrogen Grooves Yes   No
  If yes, cost:
Bolster Cost
   
New Sub-Bolster Number
Existing Sub-Bolster Number
Sub-Bolster Size
Sub-Bolster Location
Sub-Bolster Cost
   
Notes to Die Maker
Total Unit Cost
Billet Diameter
Press Number
Date Required
   

 

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