Company Name:

Your Name:

Title:

Mailing Address:

Phone: Fax: E-mail:

Annual Usage of Wheel Listed
Total Wheel Consumption

Wheel Type: Diameter:
Thickness: Arbor Hole:
Rim Width: Manufacturer:
Angles, Bolt Circle, etc.:

Superabrasive: Diamond CBN Depth: 1/16 1/8 1/4 9/32 Mesh: 80 100 120 150 180 150 220 240 280 320 400 Micron
Grade: L N P R S T U V Concentration: 50% 75% 100% 125% Bond Type: Resin Copper/Resin Metal Vitrified

Machine Type:
Spindle H.P.: Spindle R.P.M.:
Type of Operation (ID, surface, slotting, etc.):

Wheel Used:

• Wet
• Mist
• Dry

Stock Removal per Pass: Total Stock Removal:
Plunge, Creepfeed, Traverse: Finish Required:

Workpiece to be cut/ground:

• Tubing - OD: ID:
• Solid - Shape: Size:

Material to be cut/ground:

• Quartz
• Glass - Type:
• Ceramic - Type:
• Hardened Steel -
  Grade: Rockwell "C" Hardness:
• Solid Carbide - Grade: % Cobalt:
• Carbide/Steel - % Carbide: % Steel Braze:
• Other - Describe:

No Risk Trial Order

PO Number: Quantity:
Price: (Less 15% 1st Order Discount) Trial Price:

Have the details of our NO RISK TRIAL POLICY been explained?

1. Yes
2. No

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