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.)
 |
           
|