* Indicates required fields. Phone Number: * * Date * Your Name * Company Name Address State Zip * Phone FAX * E-mail PART INFO * Part Name B/P No. Rev. No. * Part Data Via CAD Data (please email) Parts (please send) Prints (please email) Sketches Verbal Information Part Material (Full Description) Part Wt. * Mold Description * Number of Cavities Type of Mold Production Prototype Mold Detail 2 Shot Rotary Other Shuttle Mold Single Face Stack Mold Cavities Per Face Stack Molds Only Anticipated Molding Press MOLD BASE Mold Base A series B series MUD Mold Base Type #2 Steel #2 with SS Water Plates #3 Steel Full Stainless Electroless Nickel Plated Yes No DESIGN Type of Design Full Detail Layout only Design by Customer Dynamic Mold Flow Analysis Yes No Metric Components Yes No EJECTION Pins EJ side Sta side Blades EJ side Sta side Sleeves EJ side Sta side Stripper EJ side Sta side Air EJ side Sta side Ejection Options 2 Stage EJ Early EJ Return Guided Ejector Hydraulic EJ Spring Loaded EJ RUNNER Runner Type Cold Round Cold Trapezoid Hot Runner Hot to Cold Preferred Hot Runner Mfg. DME Ewikon Hasco Husky Incoe Manner MHS Mold-Masters Synventive Hot Runner set up for color changes Yes No Customer Supplies Hot Runner Yes No Type of Gating Direct Sprue Edge Gate Hook gate Hot Sprue Hot Tip Pin Point Gate Sub gate Valve gate Gate Inserts Yes No Runner Shut-offs Yes No CAVITY / CORE Cavity Material 420SS 50-52 Rc. 440C 56-58 Rc. A-2 56-58 Rc. BeCu Prehard D-2 60-62 Rc. H-13 52-54 Rc. P-20 Prehard S-7 54-56 Rc. Core Material 420SS 50-52 Rc. 440C 56-58 Rc. A-2 56-58 Rc. BeCu Prehard D-2 60-62 Rc. H-13 52-54 Rc. P-20 Prehard S-7 54-56 Rc. Cavity(s) per Block Cavity Finish A-1 A-2 A-3 B-1 B-2 B-3 C-1 C-2 C-3 D-1 D-2 D-3 EDM Texture Engraving Yes No Core Finish A-1 A-2 A-3 B-1 B-2 B-3 C-1 C-2 C-3 D-1 D-2 D-3 EDM Texture Engraving Yes No Coating/Plating Armalloy Armorclad Black Diamond Dicronite Electoless Nickel Hard Chrome Melonite Nickelon Nitride Polyond Titanium Nitride SIDE ACTION # of Lifters per Cavity EJ Side Yes No Sta Side Yes No # of Slide(s) per Cavity Cam Pin EJ side Sta side Dog Leg EJ side Sta side Spring Activated EJ side Sta side Fall Away EJ side Sta side Hydraulic EJ side Sta side Rack System EJ side Sta side Steel 420SS 50-52 Rc. 440C 56-58 Rc. A-2 56-58 Rc. BeCu Prehard D-2 60-62 Rc. H-13 52-54 Rc. P-20 Prehard S-7 54-56 Rc. Finish A-1 A-2 A-3 B-1 B-2 B-3 C-1 C-2 C-3 D-1 D-2 D-3 EDM Texture Engraving Yes No Coating/Plating Armalloy Armorclad Black Diamond Dicronite Electoless Nickel Hard Chrome Melonite Nickelon Nitride Polyond Titanium Nitride TEMPERATURE CONTROL Temperature Options Bubblers Quick Disconects Thermal pins Thermocouples Water in blocks Water in mold base Water in slides Water manifolds Wiring and Plumbing by Customer Dynamic SPECIAL FEATURES Special Features Auto Unscrewing Cycle Counter Floating Plate Greaseless Bushings Parting Line Locks Quick Change Plates Switches Transducers # of Steel Safe Dimensions 1 10 2 3 4 5 6 7 8 9 # of Steel Dimension Certification 1 10 2 3 4 5 6 7 8 9 MOLD SAMPLING Mold Sampling by Customer Dynamic Sample Type Best process First Article Inspection Mechanical function # of Samples # of Materials # of Colors # Hours to Run # of Parts to Run COMMENTS Please fill in any details or comments. For your records, please use your browser's print function to print this page.

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