Autofacer Request for Quote Form

For a quick response, print this page, fill-in all of the information requested, include a part drawing whenever possible, and FAX to R. Steiner Technologies at:
FAX: (585) 425-5913       Phone: (585) 425-5910       Toll Free: (888) 327-1949
ENDUSER:____________________________ DISTRIBUTOR:_________________________
Contact:______________________________ Contact:______________________________
Address:_____________________________ Address:_____________________________
  ____________________________________   ____________________________________
Town/State/ZIP:________________________ Town/State/ZIP:________________________
  ____________________________________   ____________________________________
Phone:_______________________________ Phone:_______________________________
FAX:_________________________________ FAX:_________________________________
E-Mail:_______________________________ E-Mail:_______________________________
Autofacer RFQ Images
Fill-in all the information that is directly relevant to your application. Dimensions for A, B, C, E, and R as well as Annual Number of Holes, Shank Size & Type, and Workpiece Material are a required minimum. Please include a part drawing whenever possible.
A=_________________+/-_____________ AA=________________+/-_____________
B=_________________+/-_____________ BB=________________+/-_____________
C=________________________________ F=________________________________
D=________________________________ G=________________________________
E=________________________________ H=________________________________
R=________________________________ EE=_______________________________
Annual Number of Holes:_____________ RR=_______________________________
Machine Make:______________________ Machine Model:____________________
Workpiece Material:__________________ Shank Size & Type:__________________
Thru Spindle Coolant?________________ Coolant Pressure =__________________

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