Please complete the form below
Name:

Phone:
Title:
FAX:
Company:
E-mail:
Address:
 
Specifications and correspondence
mailed separately

Please submit detailed
drawings or sketch

Parts to be produced from:


Coil

Pre-cut Blanks
If pre-cut blanks, will parts be
pierced and notched by Dahlstrom?

Yes

No
If coil, parts to be pierced and notched by?

Secondary
Operation

Dahlstrom
Minimum Length
Maximum Length
Length Tolerance +/-

Material Thickness
Material Type
Production Required
Parts -OR- Feet
Per Day
Per Month
Per Year
Specify Method of Feeding Pre-cut Blanks
Hand Feed
Automatic Destack/
Pick & Place
Convey
Specify Method of Handling Rollformed or
Wingformed Parts After Last Operation
Manual
Stacking
End
Discharge
Into Bin
Side
Discharge
Into Bin
Convey to
Secondary
Operation
Automatic
Stacking
Floor Space Available:
Electricals
Voltage
Phase
Frequency-HZ
Firm Quote -OR- Estimate
Additional Comments




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Formtek Group A MESTEK COMPANY

Dahlstrom - Formtek Metal Forming, Inc.
4899 Commerce Parkway • Warrensville Heights, Ohio • 44128 USA
Phone: 1-800-631-0520 or 1-216-292-4460
Fax: 216-292-2898
Email: dstudniarz@formtekgroup.com