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Customer Information

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* Phone Contact
Fax Phone
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Part Description
Part Name Material
Part/Job# Supplier
Part Size Filler
Mold drawing supplied Yes   No  Part Weight
Type of Mold New   Retrofit  Wall Thickness
    Mold Base Size
Choose what applies  Manifold & Components  Hot-Half  Pre-Wired System

Gating Requirement
Number of Cavities Gate Diameter
Gates per Cavity Tip Diameter
Gating into Part Yes   No  Dimple Allowed Yes   No 
Gating into Runner Yes   No  Runner Diameter
Delivery Requirements