Tooling Request for

Quotation Worksheet
 TOOLING REQUEST FOR QUOTATION WORKSHEET
Company: __________________________ Ship to Address:______________________
Type of Industry: _______________________ City, State, ZIP: ___________________________
Contact: ________________________________ Phone: ____________________________________
Title: __________________________________ Fax: _______________________________________
Date: ____________________________________ Tooling Required Date: ___________________
Quotations Required Date: ______________
Machine Model
Model: ______________________ __ Right Hand (Clockwise) __ Special Mount / Special Machine Options
S/N: ________________________ __ Left Hand (Counter/Clockwise) Describe: __________________________
Other: _______________________ ___________________________________

Turn Key Project: Y or N

(Y)__ Print included __Mandrel Bending Type of Material Bending: _______________
(Y)__ Sample Included __Elliptical ________________________________
(Y)__ Applications Review Req’d __Non-Interlocking Special Material Finish Req’d: Y or N
(Y)__ Applications Review Included __Interlocking (Y) Explain: _______________________
(Y)__ Any Additional Info Provided __Other Describe _________ _________________________________
________________________
TOOL TYPE REQUIRED INFORMATION SPECIALS
BEND DIE Tube OD Wall CLR Max DOB Type Grip FINISH_______
_________ __________ Length Carbinite #___
Spring Back Special ________ Flame Spray #__
Serrated EF, F, M, C
compensated Interlock Reversible
Polished ______
Y or N Y or N Y or N Other ________
(Y)________ (Y)________
CLAMP DIE Tube OD Length Type Reach FINISH_______
__________ Adjusted Carbinite #___
Special Y or N Flame Spray #__
Serrated EF, F, M, C
Interlock
Polished ______
Y or N Other ________
(Y)________
PRESSURE Tube OD Max DOB Type Reach FINISH_______
DIE _________ __________ Adjusted Carbinite #___
or Specific Special Y or N Flame Spray #__
Serrated EF, F, M, C
Length Interlock (Y) CLR__
Polished ______
__________ Y or N Other ________
(Y)________
WIPER DIE Tube OD CLR Special Length Material Lube Aircraft Spec
Y or N A/B or Steel Y or N
(Y)________ Other______ Y or N

MANDREL Tube OD Wall Length Material # Balls Aircraft Spec

Ball Mandrels Thread size A/B or _____
less than Stl/Chrome Pitch
.312” OD can _________ ____________ Other______ Std. Pitch Y or N
bend 2 D Close Pitch
minimum E Close
Pitch
. Please email to your sales person, or fax form to (574) 522-3992.
. Attach additional information such as part print as required
. 435 Roske Drive, Elkhart, IN USA, 46516
. Phone (574) 295-5041 Fax (574) 522-3992
Special Notes:
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. Please email to your sales person, or fax form to (574) 522-3992.

. Attach additional information such as part print as required
. 435 Roske Drive, Elkhart, IN USA, 46516
. Phone (574) 295-5041 Fax (574) 522-3992