Insert Carriers - Quote Request
  PR HOFFMAN MACHINE PRODUCTS
1517 Commerce Avenue
Carlisle, PA 17015 U.S.A.
Phone: +1 (717) 243-9900
Fax: +1 (717) 243-4542
Toll FREE FAX: 1-800-776-3830
FAX this form with the following information Toll-FREE to: 1-800-776-3830
CUSTOMER INFO
Company Name: ____________________
| Contact: ____________________
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Address: ____________________
| Phone: ____________________
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City / State: ____________________
| FAX: ____________________
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Zip/Postal Code: ____________________
| Email: ____________________
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CARRIER BLANK
Machine Model: ____________________
| Quantity: ____________________
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No. Teeth: ____________________
| Tooth Size: ____________________
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Material: ____________________
| Root Dia.: ____________________
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Thickness: ____________________
| Pitch Dia.: ____________________
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HOLE PATTERN
No. Holes: ____________________
| Hole Center Dia.: ____________________
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Hole Shape: ____________________
| Hole Size: ____________________
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COMMENTS:
Please indicate desired % break & wafer dimensions
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Please contact PR Hoffman Machine Products, to discuss your insert carrier requirements. If you have a print, please include with this fax quote request.
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