CUSTOMERS ONLINE FORM
Company Information
Company name
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Phone
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Fax
Address
City
State
Zip
Email
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Web Site
Contact
Project Information
Product name
File format
IGES DXF STEP Pro/E SolidWorks STL
File transfer
Email attachment FTP transfer
Tool type
Injection mold Production injection mold
Mold Information
Part number
Part name
Cavities required
Mold base
DME HASCO FUTABA LKM OTHER
Mold base format
2 plate 3 plate
Cavity Core
P20 718 NAK80 H13 STAINLESS OTHER
Cavity finish
Polish Texture Matte Other
Gate type
Tunne1 Submarine Edge Hot runner Other
Gate location
Pins Blades Stripperplate Other
Core hardness
30-40HRC 50-56HRC
Required tool life
(number of shots)
Material Generic Name
Trade name
Specification number
Material color
Material shrinkage
material supplied
by customers by SAMT
Sample run
yes no Sample quantity
Mold quantity
Delivery date
Additional comments
*