Contact Name:      Title:  

Phone Number:       Fax Number:  

Street Address:    Suite:  

City:     State:      Zip:  

O.D.        I.D.       Quantity

Diameter:        Length:  

Pitch:       Starts:       Lead:  

Material:       Heat Treat:  

Centers (Preferred)         Collet         Chuck         Arbor         Special  

Overall Length of Part:  

Largest Diameter of Part:  

Into relief or up to a shoulder:     Yes       No