Name

Company

Title

Mailing Address

City

State (abrv) Zip Code (5digit)

Country

Phone (numbers only) Fax

E-mail

Please quote PRICE and DELIVERY on the following

Bars Blanks Hubs Rings Shafts Sleeves Spindles

Material Grade Specification Qty

Dimensions

Dimensions Furnished are Finish Rough Turned Heat Treatment

Heat Treatment Specification BHN/RC min/max

Comments or other instructions