Screw Quotation Request

PLASTIC SERVICES
& EQUIPMENT

Screw 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:

Machine Type:	Injection Extrusion Blow Molding Thermoset		Single Stage Vented
Drive:	Single Key Double Key Vertical Key Square/Rectangle		Pin Involute Spline* Straight Sided* Other
*Number of Splines:

Base Material: Nitralloy 135m 4140 D-2 CPM-9V Other	Hard Facing: Stellite #6 Stellite #12 Colmonoy #56 Other		Surface Treatment: Nitride Chrome TiN (Titanium Nitride) Armoloy Other

Overall Length:			Outside Diameter:
Flited Length:			L/D:	:1 (# of flites on feedscrew)

Service:	Manufacture New Screw Purchase Reconditioned Screw Rebuilding Service
Other Information:	Please list any non-standard data, such as: mixing section, dual flite channels, or any damage found on screw.

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