Exclusive North American Dealer
Machine Type: {Select Machine Type:1} {Lathe Type:2}
Make: {Make:3}
Model: {Model:5}
Serial #: {Serial:6}
Mount Type: {Mount Type :10} {Taper Size of Machine :26} {Spindle Nose Size of Machine :11}
Part Rotation: {Part Rotation:13}
Stock Diameter: {Stock Diameter:14}
Finished Diameter - Below Chamfer: {Finished Diameter - Below Chamfer:15}
CENTER DRILL / HOLE SIZE: {CENTER DRILL / HOLE SIZE:28}
Tolerance Desired: {Tolerance Desired:16}
{Attached Part:17}
Company Name: {Company Name:21}
Address: {Address:20}
Contact Name: {Contact Name:22}
Phone Number (mobile): {Phone Number (mobile):25}
Phone Number (direct): {Phone Number (direct):27}
Email Address: {Email Address:24}
Comments / Other Application Information: {Comments / Other Application Information:18}
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