DME American Standard Mold Base Quote Request Form Mold Bases
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Company Name::________________________________________ Date:_ _________________
Page 2 of 2
Additional Features – Ships in 5 Working Days Guided Ejection: Quantity: ____________
Pin Dia.: ___________ ■ System 1 ■ System 2
■ Recommended Position
■ Custom Position: GEx ____________ GEy ___________ ■ Self-Lubricating Bushing __________________________
■ Bronze Bushing
Pry Slots: (4 places each plate) (NOTE: P = Parting Line NP = Non Parting Line) ■ TCP: P ______ NP ______ ■ A Plate: P ______ NP ______ ■ B Plate: P ______ NP ______ ■ Support Plate: P ______ NP ______ ■ Housing: P ______ NP ______ ■ ___________ P ______ NP ______
Lift Holes: (Prints required if not on center) ■ TCP:
ELECTRONIC QUOTE REQUEST FORM
Quantity __________ Dia. __________ Quantity __________ Dia. __________ Quantity __________ Dia. __________ Quantity __________ Dia. __________
■ A Plate: ■ B Plate:
■ Support Plate:
■ Housing: ■ ____________: Quantity __________ Dia. __________ ■ On center _______________________________________
■ Leader Pin Vents: (NOTE: Designed in all 15" and wider mold bases. When desired, can be specified on smaller molds.) ■ Rough Rectangular Pockets: (Prints required) Length ______ Width ______ ■ Through
■ Blind (specify depth) :_ ________ Corner Radius (.50 min/1.00 max) : _____________
(NOTE: Rough Pocket tolerance -.062 per side) ■ Knock-out Holes: (Prints required if not on center) ■ Mold Strap Holes: (Prints required) ■ Spring Pockets: (Prints required) ■ Support Pillars: (Prints required) Additional Components: (Prints required) ■ Lower Assembly Screws:
Drill Quantity ______ Tap Quantity ________
Quantity ______
Quantity ______ Number of Plates ________
Quantity ______ Diameter _______________ Style ______________
Comments: _ ____________________ _____________________________ _____________________________ _____________________________
Quantity ____________ Quantity ____________ Quantity ____________ Quantity ____________ Quantity ____________
■ Upper Assembly Screws: ■ Ejector Assembly Screws:
■ Return Pins: ■ Stop Pins:
Additional Features – Ships in 7 Working Days (includes features listed in 5 working days)
■ Extension Bushing (T-Series): Extension Bushing Item Number:____________________
Stripper Bushing: TEB-0001
■ Finished Rectangular Pockets: (Prints required) Length ____________
Width ____________
■ Through
■ Blind (specify depth) :__________ Corner Radius (.50 min/1.00 max) : _______________
(NOTE: Finished pocket tolerance +/- .001)
■ Waterlines: (Prints required) Diameter: ____________ Number of Plates with Waterlines: ____________ Total Length of Waterlines (in inches) in Each Plate: ____________ Number of Sides: ____________ Comments: _ ____________________ _____________________________ _____________________________ _____________________________ Additional Features – Ships in 11 Working Days (includes features listed in 7 working days) ■ Special Plate Thickness: Plate to be altered: ____________ Thickness: ____________ ■ Parting Line Interlocks (see Mold Components catalog; Print required) : Quantity: ____________ Part Numbers: _____________________________ Comments: _ ____________________ _____________________________ _____________________________ _____________________________ For additional work, contact Customer Service at 800-626-6653 or email drawing files to dme_cad@dme.net
U.S. 800-626-6653 ■ Canada 800-387-6600 ■ dme.net ■ store.dme.net
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