Standard Mold Base Request Form For Quote Page 2
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1
2
3Company Name:_____
Date: _____
Additional Features – Ships in 5 Working Days
Guided Ejection:
Quantity: _____
Pin Diameter: _____
System 1
System 2
Recommended Position
Custom Position:
GEx _____
GEy _____
Bronze Bushing
Self-Lubricating Bushings _____
Pry Slots :
Lift Holes:
(4 places each plate)
(Note: Prints required if not on center)
NOTE: P=Parting Line NP = Non Parting Line
TCP
Quantity:
Dia. _____
# of faces/sides
_____
TCP:
P
NP
A-Plate
Quantity:
Dia. _____
# of faces/sides
_____
# of faces/sides
A-Plate:
P
NP
B-Plate
Quantity: _____
Dia.
_____
B-Plate:
P
NP
Support Plate
Quantity: _____
Dia. _____
# of faces/sides
Support Plate
P
NP
Housing
Quantity: _____
Dia. _____
# of faces/sides
Housing
_____
Quantity: _____
Dia. _____
# of faces/sides
_____
P
NP
On Center
Quantity:
Dia. _____
# of faces/sides
_____
Leader Pin Vents
(Note: Designed in all 15” and wider mold bases. When desired, can be specified on smaller molds.)
_____
Dia.
Rough Rectangular Pockets:
Length
Width
Corner Radius _____
(Prints required)
______
_______
(.50 MIN/1.00 MAX)
Through
Blind
(specify depth)_______
(NOTE: Rough Pocket Tolerance -.062 per side)
Knock-out Holes:
Drill Quantity _____
Tap Quantity _____
(Prints required if not on center)
Mold Strap Holes:
Quantity _____
(Prints required)
Spring Pockets:
Quantity _____
Number of Plates _____
(Prints required)
Support Pillars:
Quantity _____
Diameter
Style _____
Click to Select
_____
(Prints required)
Additional Components:
(Prints required)
Lower Assembly Screws
Quantity _____
Upper Assembly Screws
Quantity
_____
Ejector Assembly Screws
Quantity
_____
Return Pins
Quantity _____
Stop Pins
Quantity _____
Comments:
Additional Features – Ships in 7 Working Days (includes features listed in 5 working days)
Extension Bushing (T-Series):
Extension Bushing Item Number: TEB_________
Stripper Bushing: TEB-0001
Finished Rectangular Pockets:
Length ______
Width _______
(Prints required)
Finished Pocket tolerance (+/-.001)
Corner Radius ____________
(.50 MIN/1.00 MAX)
Through
Blind
(specify depth) ______
Waterlines:
Diameter: _____
Number of Plates with waterlines: ______
(Prints required)
Total Length of Waterlines
in Each Plate ______
Number of Sides
______
(in inches)
Comments:
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