MADE-TO-ORDER PRODUCT PURCHASE FORM
Customer Information
Company Name:
Date:
/
/
Contact Name:
Job Title:
Department:
Area Code:
Phone Number:
Extension:
Fax:
E-mail:
Grinding Machine Information
Brand Name:
Type/Model:
Dressing Tool:
Coolant Used:
Workpiece Information
Workpiece Size:
Material:
Function:
Heat Treatment:
Hardness:
Plating:
Cutting Rate:
Surface Roughness:
Grinding Wheel Information
Wheel Diameter:
Wheel Thickness:
Hole Diameter:
Wheel Shape:
Wheel Type:
Specifications:
Wheel Production:
Rotary Speed (RPM):
Peripheral Speed (meters/second):
Additional Comments
Name of person submitting this form: