Company Name:
Address:
Your Name:
State/Province:
Position:
City:
E-Mail:
Zip:
Country:
Phone Number:
Type and size of material to be placed on reel:
Fax Number:
Maximum Weight to be placed on reel:
Quantities Normally Ordered
(Minimum 500 Units)
:
A.
Finish Hole Diameter:
B.
Start Hole Diameter:
C.
Barrel Diameter:
D.
Distance Center-to-Center:
E.
Arbor Hole Diameter:
F.
Drive Pin Hole Diameter:
G.
Flange Diameter:
H.
Traverse:
I.
Overall Traverse:
Other Comments:
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here
for a printable copy of this
form that you can fax to our sales department.***
Toll Free: 1.800.293.6307
Tel: 1.563.568.6307
E-Mail:
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