Custom tooling request for quotation form
*Items in RED must be filled in*

Distributor:
Salesperson:
Email Addess:
Customer:
Contact Name:
Phone:
Description of tooling requirements: (Desired type of tooling
- Automatic Top feed, Automatic Bottom feed, Manual, J-Frame, etc.)

Original Order #:
(for replacement parts)

Haeger Model:
If Other:
space
MAS Size: 9" 14" 18"
Fastener Description:
Manufacturer: (Pem, PSM, Hank, Kalei, Strux, Captive, Kerb
Konus, etc. - 25 to 300 samples may be required)

Part #:
If no part # please attach a signed spec/tolerance sheet

Description:

Part:
Description: (Flat, Formed, Reverse flange, to be inserted in the
flat, fastener near flange, etc. - part may be required)

Material:

Attachment(s): (Please attach any applicable drawings of sample
parts or specifications needed -- file formats such as DWG, DXF,
PDF, and DOC are preferred.)