Figure 8 Extrusion Request Form

PART ONE - ORDER INFORMATION
Request Date
Requester Company
Requester First Name
Requester Last Name
Phone
Purchase Order #
Reference Document
Product Application
Ship To
PART TWO - MATERIAL DESCRIPTION
WT%
POLYMER TYPE
TRADE NAME
GRADE NUMBER
ADDITIVE / COLORANT
%
%
%
%
PART THREE - PACKAGING
Final Quantity
[Select One]
 Qty Reel(s)         Length on Reel each 

-OR-

Qty of cut Pieces         Piece Length

PART FOUR - PRODUCT SPECIFICATION

"Figure 8" Extrusion
Wall 1 (W1)
ID1
Wall 2 (W2)
ID2
Wall 3 (W3)
Height
Width 1
Width 2
Comments 

You will receive a cost quotation via email within 24-36 hours or less.