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Customer Name Email RFQ# Quote#
Part/s Name of Part (1) Part No. (1) Rev. No. (1) No. Cav. (1) Name of Part (2) Part No. (2) Rev. No. (2) No. Cav. (2) Name of Part (3) Part No. (3) Rev. No. (3) No. Cav. (3)
Type of Mold
Thermoplastic injection Thermoset Injection Compression Transfer Other
Designed By
Moldmaker Customer
Type of Design
Detailed Design Layout Only
Approximate Mold Size
Dimensions Press Make / Model
Mold Construction
Standard 3 Plate Stripper Insulated Runner Reverse Ejection Runnerless System
Mold Base Steel
#1 #2 #3 S.S. Other
Primary Core
Inserted Either Inserted Yes Inserted No
Primary Cavity
Inserted Either Inserted Yes Inserted No
Material
Cavities
Tool Steel
Beryl. Copper
P-20
Other
Cores
Tool Steel
Beryl. Copper
P-20
Other
Type of Gate Edge Center Sprue Sub-Gate Pin Point Hot Bushing Post Gate Other
Ejection
Cavities EJ. Pins EJ. BLade Sleeve Stripper Air EJ. Bars Unscrewing (Auto) Removable inserts (Hands) Other
Cores EJ. Pins EJ. BLade Sleeve Stripper Air EJ. Bars Unscrewing (Auto) Removable inserts (Hands) Other
Special Features Guide Ejectors Spring Loaded EJ. Bar Accelerated EJ. Positive EJ. Return Cylinders on EJ. Bar Parting Line Locks Double Ejection Threaded EJ. Bar Other
Side Action
Cavities Mechanical Slides Hydraulic Cyl. Air Cyl. Cam EJ. Activated Spring Activated Angled Lifters Collap. Core Other Cores Mechanical Slides Hydraulic Cyl. Air Cyl. Cam EJ. Activated Spring Activated Angled Lifters Collapsible Core Other
Cooling/Heating
Cavities Blocks Mold Base Other (Specify) Core Blocks Mold Base Other (Specify)
Finish
Cavities SPI# Plating Texture Other Core SPI# Plating Texture Other
Micro Switches
Supplied By: Mounted By:
Engraving
Yes Part# Recycle Logo Date Code Other No
Controls
Heaters Supplied By Heaters Connectors Supplied By Outside Surface Model By Duplicating Casts By Mold Try-Outs By Mat'l Supplied By Mold Flow Analysis By Cooling Analysis Controller Supplied Molded part inspection By Cad-Cam Data Supplied By

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