![]() Seamless Rolled Rings & Open Die Forgings ISO-9001:2000 Registered |
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| 254 North Street Auburn, New York 13021 Phone (315) 253-6265 Fax (315) 253-3136 |
Date _____________________________ ATTN :Sales _______________________ |
| Company ________________________________
Address ________________________________ City, State, Zip ____________________________ Requester's Name __________________________
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Telephone (___) ____________________
FAX (___) ________________________ Ref. Number _______________________ NO. of pages to follow ________________
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| Please quote price and
delivery on the following:
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| Grade: ____________________________
Specification: _________________________
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| Certification required (please
check one) : ( ) Standard H&I
Certification
( ) Full Mill Certification
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| Special testing
required ( if any ) : _____________________________________________________________
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| Part No. _____________________________ | Delivery requirement _____________________________ |
| Finish Machine Sizes : |
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Rings: OD _______ ID _______ THK _______ QTY _______ |
| Rings : OD _______ ID _______ THK _______ QTY _______ | |
| Discs : DIA _______________ THK ___________ QTY ________ |
| Special Instructions / Comments
________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ |
Please Print, fill in the Blanks and fax to (315) 253-3136 |