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General Info

Please complete the questionnaire so that your application can receive our complete attention.

Requester Information:

Company Name:

Customer Name:

Customer Address:

Customer Address #2:

Phone #:

Fax #:

Email:

Present Wheel:

Size:

Wheel Type:

Specification:

Manufacturer:

Max Wheel Speed:

SFPM RPM M/S

Present Performance:

OK Hard Soft Coarse Fine

Wheels Per Year:

NOQ:

Price ($):

Manufacturer:

Grinding Operation:

Surface OD ID Centerless Creep Feed Other

Dresser:

Machine Type:

Wheel Speed:

Work Speed:

Materials:

Hardness:

Workpiece Information:

Part Dimensions:

Stock Removal:

Finish:

Coolant:

Wet Dry Oil Water Soluble Synthetic

Comments or Special Instructions:

Image Verification:

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Form Products

30062 Aventura
Rancho Santa Margarita, CA 92688

Tel: (888) 281-4183
Fax: (949) 858-3188
Email: scott@formgrind.com

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