End Cap Quotation Request

PLASTIC SERVICES
& EQUIPMENT

End Cap Quotation Request To request a quote, please complete the following form. We will respond as soon as possible. Remember, the more information you can provide, the faster we can reply.
Contact Information
Your Name:
Job Title:
Company:
Account No:	(If Known)
Mailing Address:
City:		State:		Zip Code:
Country:
Phone:
Fax:
E-mail:
Type of Business:
How did you find us?

Quotation Information
Machine Make:			Model Number:
Ounce Capacity:			Resin Type:


Dimensions: to (0.001") Please see diagrams above.
A. Overall Length:			B. Nozzle Thread Depth:
C. Flange Width:			D. Counterbore Length:
E. Nozzle End Diameter:			F. Thread Size and Pitch:
G. Interior Angle:			H. Nozzle Bore Diameter:
I. Rear Opening:			J. Counterbore Diameter:
K. Depth of Straight Bore:			L. Major Diameter:
M. Length of Straight:			N. Bolt Counterbore Depth (if any):
O. Bolt Counterbore Dia. (if any):			P. Bolt Hole Diameter:
Q. Number of Bolt Holes:			R. Bolt Circle Diameter:
S. Bolt Hole Position (if not on center):			T. Nozzle End Width:

Other Information:

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