Standard Mold Base Request Form For Quote

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American Standard Mold Base Quote Request Form
Email Completed form to:
dme@dme.net
QUOTE FAX HOTLINES AVAILABLE
United States 888-808-4363 • Canada 800-461-9965 • International 248-398-7394
Company name:
DME Acct #:
Contact name:
PO #:
Job #
Phone:
Fax #:
Address:
E-mail:
City:
State:
ZIP:
Country:
NOMINAL SIZE
Prints have been sent
Quote Only
Order
(Include PO above)
NOTE: For feature selections left blank, the DME Standard recommendation will be provided
88
7.875
7.875
Click to Select
812
7.875
11.875
Mold Base Series _____
Omit the Following Holes
108
9.875
8.000
Mold Base Item No: _____
Locating Ring
1012
9.875
11.875
Sprue Bushing
1016
9.875
16.000
Cav. Retainer Set Item No: _____
Sprue Puller Pin
1020
9.875
20.000
Upper Assembly Screws
Click to Select
1112
10.875
12.000
Steel Type _____
(if mixed please specify
Leader Pins
1114
10.875
14.000
)
Leader Pin Bushings
in additional comments at the bottom of this page
1118
10.875
18.000
Top Clamp Plate
7/8
1-3/8
Return Pins
1123
10.875
23.500
A-Plate thickness
B-Plate thickness
Stop Pins
1212
11.875
12.000
Housing
Lower Assembly Screws
Click to Select
1215
11.875
15.000
“C” Riser Height
Ejector Assembly Screws
1220
11.875
20.000
Omit all center holes
Welded/Standard
1223
11.875
23.500
3-pc “BCP” Thickness
1315
13.375
15.000
Omit the Following Parts
1318
13.375
18.000
“E” Ejector Bar Length
Std. or
Locating Ring
1321
13.375
20.750
Sprue Bushing
1323
13.375
23.500
Locating Ring: Item No. _____
Sprue Puller Pin
1326
13.375
26.000
Upper Assembly Screws
1329
13.375
29.500
Sprue Bushing Item No.
Leader Pins
1518
14.875
17.875
“O” Orifice _____
Leader Pin Bushings
1524
14.875
23.750
“R” Radius ______
Return Pins
1529
14.875
29.500
Stop Pins
Click to Select
1616
15.875
16.000
Clamp Slot Machining: _____
Lower Assembly Screws
1620
15.875
20.000
For clamp slot details see
Mold Base catalog page 12
Ejector Assembly Screws
1623
15.875
23.500
Omit Upper Clamp Slot Machining
Omit all center hole parts
1626
15.875
26.000
Machine Entire Length
1629
15.875
29.500
(4) Sides (Entire Length & Width)
Relocate the Following Features
1635
15.875
35.500
Omit Lower Clamp Slot Machining
Center Holes
1724
16.500
23.750
NOTE: 3-pc housing will be supplied
Upper Assembly Screws
1729
16.500
29.500
Return Pins
1818
17.875
18.000
“L” Leader Pin Length
Standard or _____
_____
Click to Select
Custom Position requires
1820
17.875
20.000
Clearance in Housing:
sketch or dimensions
1823
17.875
23.500
Accommodate length _____
1826
17.875
26.000
Thru Housing
Stop Pins
1829
17.875
29.500
Ship with a block of wood
Lower Assembly Screws
1835
17.875
35.500
Ejector Assembly Screws
1924
19.500
23.750
Leader Pin Bushings:
Standard or _____
Leader Pins & Bushings
1929
19.500
29.500
Specify Diameter: _____
1935
19.500
35.500
Steel (STD)
Self-Lubricating
Bronze
2424
23.750
23.750
2429
23.750
29.500
Return Pins:
Standard or
_____
2435
23.750
35.500
Additional Comments:
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