Company:

 Name:

 Email address:

 Die #:

 Suffix:

 # Of Cavities:

 Die Type:

 Break-Through Pressure:

 RAM Speed:

 Puller Tension:

 Billet Temp:

 Die Temp:

Alloy:

Test Run:

 Prod. Run:

 Nose Piece:

 Metal Feed:

 Bearing Length:

 Bearing Surface:

 Dimension & Tol:

 Support:

 Rod Length:

 Die Performance:

 Previous Die Performance:

 Shape:

 Signed:

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*For your records, a copy of this form will be emailed to the address specified above.

*You may either submit this form online or print and fax it to 989-269-6523.

*Direct all image files to designs@thumbtool.com

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