– Request Form

*Company Name

*Your Name

Your Position

*Phone

Fax

Address

Email*

Customer Code (If not a current customer, Please fill in address and phone numbers)

*Process Required

*Material

Weight (kg)

Quantity

Minimum Size(mm)

Maximum Size(mm)

Recurrence (One time, Weekly, Monthly, ... )

Weight of each Piece

Name of the Piece

Dimensions of the Piece(mm)

Surface Hardness Required

Case Depth Required

Total

Effective

Certification Required

Yes

No

Process Graph

Yes

No

Attachment

Description