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INJECTION MOLD QUOTE REQUEST

Customer Info
Name:
Company:
Phone #:
E-Mail:
Product Description
Product Description:
Resin:
Shrink:
# of Molds:
# of Cavities per Mold:
Details (check all that apply)
Cavity Finish:
Core Finish:
Engraving Required:	Describe
Texturing included in quote:	Describe
Mold Construction
Moldbase:
A Plate Material:
B Plate Material:
Cavity Insert Material:
Core Insert Material:
Ejection:
Hot Runner:
Gating:
Mold Details (check all that apply)
Spring Return:
Guided Ejection:
P/L Interlock:
Lifters:
Sleeve Ejection:
BeCu Core Pins:
Water Cooled Core Pins:
Side Action:
Date Code Insert:
Special Instructions
Special Instruction:
Quote Needed By:
Mold Needed By:

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