Standard Mold Base Request Form For Quote Page 3

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Company Name:
Date:
Additional Features – Ships in 11 Working Days (includes features listed in 7 working days)
Special
Plate to be altered: _____
Length:______ Width:______ Thickness:______
Steel Type: ______
Click to Select
Plates:
Plate to be altered: _____
Length:______ Width:______ Thickness:______
Steel Type: ______
Click to Select
Plate to be altered: _____
Length:______ Width:______ Thickness:______
Steel Type: ______
Click to Select
Plate to be altered: _____
Length:______ Width:______ Thickness:______
Steel Type: ______
Click to Select
Special thickness #1, #2 & #3 steel maximum thickness 5-7/8”, #7 steel 2-7/8”
Special lengths & widths must be within DME standard offerings
Parting Line Interlock Machining:
Quantity ______
Part Numbers: ______
(See Mold Components Catalog:
Prints required if not on
center):
Quantity ______
Part Numbers: ______
Side Interlock Machining:
Quantity ______
Part Numbers: ______
(See Mold Components Catalog:
Prints required if not on
center):
Quantity ______
Part Numbers: ______
Click to Select
Click to Select
Angle Pin Machining & Clearance:
Quantity: ______
Diameter: ______
Other: ______
Angle:
______
Height:
______
Ejector Pin Machining:
Quantity: ______
Diameter: ______
(25 pin maximum)
(3/16” minimum diameter)
Only standard round counterbores can be machined in the Ejector Retainer Plate (no keyed counterbores)
Comments:
For additional work, contact Customer Service at 800-626-6653 or email drawing files to
dme@dme.net
SUBMIT
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