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NORTHERN
ILLINOIS MOLD |
TEL. |
(847)
669-2100 |
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11200 EAST MAIN STREET |
FAX |
(847) 669-2154 |
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HUNTLEY, ILLINOIS 60142 |
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| COMPANY
NAME: |
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NAME: |
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OF CAVITIES: |
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PART NO: |
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| NO.
OF CAVITIES: |
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PART NO: |
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| TYPE
OF MOLD |
[ ]
THERMOSET |
[ ] INLINE |
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[ ]
INJECTION |
[ ]
COMPRESSION |
[ ] THERMOPLASTIC |
[ ] OTHER |
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INJECTION |
COMPRESSION |
TRANSFER |
INJECTION |
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MOLD CONSTRUCTION |
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SPECIAL FEATURES |
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EJECTION |
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Cavity |
Forces |
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| [ ] |
Standard |
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[ ] |
Guide Pins & Bushings
in EJ Bar |
[ ] |
EJ Pins |
[ ] |
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| [ ] |
3 Plate |
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[ ] |
Spring Loaded EJ Bar |
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[ ] |
EJ Blade |
[ ] |
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| [ ] |
Stripper |
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Inserts Molded in Place |
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[ ] |
Sleeve |
[ ] |
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Hot Runner Bar |
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[ ] |
Ejector Bar/Stationary
Side |
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[ ] |
Stripper |
[ ] |
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| [ ] |
Insulated Runner |
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[ ] |
Accelerated EJ |
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[ ] |
Air |
[ ] |
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| [ ] |
Cold Runner Manifold |
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[ ] |
Positive EJ Return |
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[ ] |
Special Lift |
[ ] |
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Vacuum System |
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[ ] |
Hyd. Operated EJ Bar |
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[ ] |
Unscrewing(Auto) |
[ ] |
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Other |
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[ ] |
Parting Line Locks |
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[ ] |
Removable Insert |
[ ] |
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[ ] |
Other:
______________________ |
[ ] |
(Hand) |
[ ] |
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[ ] |
Other |
[ ] |
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MATERIAL |
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HARDNESS |
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TEMP CONTROL |
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| Cavity |
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Forces |
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Cavities |
Forces |
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Cavity |
Core |
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Tool Steel |
[ ] |
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[ ] |
Hardeneed |
[ ] |
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[ ] |
Inserts |
[ ] |
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Beryl. Copper |
[ ] |
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[ ] |
Pre-Hard |
[ ] |
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[ ] |
Retainer Plate |
[ ] |
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Steel Sinking |
[ ] |
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Soft |
[ ] |
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[ ] |
Other Plates |
[ ] |
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Other |
[ ] |
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[ ] |
Other |
[ ] |
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[ ] |
Bubblers |
[ ] |
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[ ] |
Heaters |
[ ] |
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MOLD BASE |
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[ ] |
Other |
[ ] |
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| ___ #1 |
___ #2 |
___ #3 |
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(Specify)__________________ |
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FINISH |
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SIDE ACTION |
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TYPE OF GATE |
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| Cavity |
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Forces |
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Cavities |
Forces |
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| [ ] |
SPI/SPE# |
[ ] |
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[ ] |
Angle Pin |
[ ] |
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[ ] |
Edge |
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Mach Finish |
[ ] |
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[ ] |
Hydraulic Cyl |
[ ] |
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[ ] |
Center Sprue |
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Chrome Plate |
[ ] |
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[ ] |
Air Cylinder |
[ ] |
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[ ] |
Sub-Gate |
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Texture |
[ ] |
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[ ] |
Cam |
[ ] |
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[ ] |
Pin Point |
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Other |
[ ] |
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[ ] |
EJ Activated |
[ ] |
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[ ] |
Direct Gate |
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[ ] |
Spring Load |
[ ] |
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[ ] |
Gate Shut-Off |
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[ ] |
Other |
[ ] |
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[ ] |
Other |
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| ENGRAVING |
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DESIGN BY |
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TITLE OF DESIGN |
MICRO SWITCHES |
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| [ ] |
Yes |
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[ ] |
Moldmaker |
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[ ] |
Detailed Design |
[ ] |
Supplied By
______________ |
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No |
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[ ] |
Customer |
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Layout Only |
[ ] |
Mounted by Moldmaker |
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| Approximate
Mold Size ________________________ |
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| Heaters
Supplied By |
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[ ] |
Moldmaker |
[ ] |
Customer |
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| Duplicating
Casts |
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[ ] |
Moldmaker |
[ ] |
Customer |
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| Mold
Try-Outs By |
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[ ] |
Moldmaker |
[ ] |
Customer |
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| Mold
Flow Analysis |
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[ ] |
Moldmaker |
[ ] |
Customer |
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| Cooling
Analysis |
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[ ] |
Moldmaker |
[ ] |
Customer |
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| Material
Supplied By |
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[ ] |
Moldmaker |
[ ] |
Customer |
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| Accurate
Model/s or Master/s By |
[ ] |
Moldmaker |
[ ] |
Customer |
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| 1st
Article Inspection By |
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[ ] |
Moldmaker |
[ ] |
Customer |
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| F.O.B. our
plant, terms are 1/3 down, 1/3 upon delivery, |
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Date |
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| 1/3
net 30 days, unless otherwise stated in cover letter. |
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Quote # |
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