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Autofacer® Application Assessment Form
CONTACT INFORMATION
CONTACT
TITLE
CITY POSTCODE
COMPANY NAME
STREET ADDRESS
DISTRIBUTOR
PHONEEMAIL
CONTACT
MACHINE INFORMATION
MAKE/MODELSPINDLE TYPE
(CAT50, HSK63, ETC.)
THROUGH TOOL COOLANT: NONE SPINDLE FLANGE COOLANT PRESSURE
WORKPIECE INFORMATION A +/-
AA +/-
B
BB
+/-
+/-
C
E
G
D
F
H
R
ANNUAL VOLUME
NOTES:
Mollart Engineering Limited - Tooling Division - 106 Roebuck Rd - Chessington Ind Est. - Chessington, Surrey KT9 1EU 0208 391 6618 • Fax 0208 391 6629 • [email protected] • www.mollart.com
DATE
MO-FORM-001 REV A • 6/2016
PART # MATERIAL
GRADE HARDNESS
* ALL FIELDS IN RED REQUIRE A VALUE OR "N/A"
APPLICATION INFORMATIONJOB CURRENTLY
IN PRODUCTION? NO YES
I would like to schedule an on-site visit to review this application.
If this is a current job, what is the current process and what difficulties are you encountering?
DELIVERY REQUIREMENTS
QUILL TYPE YES NO
INDUSTRY
Machined Surface
NOYES
PART NAME
