Crossheads and In-Line Dies Quote Worksheet
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Company Name:
Contact Name:
Street Address:
City: State: Zip:
Contact Phone: Contact Email:
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Please provide the following information so we can determine the extrusion tooling that best suits your needs. Email a product drawing if available.
Extruder Make:
Extruder Model / Size
Type of Polymer or Elastomer Extruded:
Type of Flange: Clamp-on Bolt-on
Largest Core OD or Tube ID:
Largest Finished OD:
Type: Adjustable Center Crosshead Fixed Center Crosshead In-Line Die Other (Specify)
Quantity:
Application: Pressure Jacketing / Sleeving Tube Extrusion Striping (Number of Stripes:) Encapsulated? YES NO Other (Specify)
Material: 420 Stainless Steel C-276 Hastelloy Other (Specify)
Fittings Required: Air Fitting Vacuum Fitting
Specify quantities requested and any special instructions:
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