Name:

Title/Job Description:

Company:

Address:

City:

State:

Zip:

Phone:

Fax:

E-mail:

Raw Casting Weight:

Machined Casting Weight:

Estimated Usage

One Time Order Quantity:

TOOLING DESCRIPTION

Pattern

Flask Size:

Tooling:

Metal Wood

Number of impressions
on plate:

Core Box

Metal Wood Plastic

Number of Cavities:

Type of Box:

Shell (hot box) Cold Box

Comments/Questions: