COMPANY NAME:______________________________________________________

ADDRESS:______________________________________________________________

CITY:___________________________ STATE:__________ ZIP:__________________

PHONE NO.:________________________

FAX NO.:___________________________

EMAIL:_____________________________

ATTENTION QUOTE TO:____________________________

TYPE OF EQUIPMENT:      NEW      USED

FEEDER      REEL      CRADLE      STRAIGHTENER      OTHER

TYPE OF MATERIAL:___________________________________________________

STOCK THICKNESS:____________________________________________________

STOCK WIDTH:_________________________________________________________

STROKE LENGTH:______________________________________________________

FEED DIRECTION R-L OR L-R:___________________________________________

WEIGHT OF COIL:______________________________________________________

WIDTH OF COIL:________________________________________________________

I.D. OF COIL:____________________________________________________________

O.D. OF COIL:___________________________________________________________

FEET PER MINUTE:______________________________________________________

VOLTAGE: 110V 220V 440V. OTHER_______________________________________