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| CROSS HEAD QUESTIONNAIRE |
| (Request for Quotations and/or Purchase Orders) |
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| NOTE: Please fill in all applicable information: |
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| II. Product Information |
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| A. |
Product Type/Class: (General)
(i.e., wire & cable, telephone, automotive, building, medical tubing, pipe) |
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| B. |
Product Type/Name: (Specific) |
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| C. |
Product Size : Minimum |
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Maximum |
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Product Shaped
(Dimensional Print Required) |
(Y) (N) |
| D. |
Conductor/Core Type:
( i.e, Copper, Solid, Standard, Core Make up ( i.e, 3-Conductor with Ground) |
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| E. |
Conductor/Core Size: |
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| F. |
Production Requirements: Output Kgs./Hr. |
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Line Speed: Meter/Min. |
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| G. |
Extrudate/Compound:
( i.e, PVC, PE, PP, Nylon, LLDPE, XLPE, HDPE) |
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| H. |
Manufacture and Grade: |
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| I. |
Extrudate Temperature:
( i.e, Degree C) |
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| J. |
Extrudate Thicknesses (wall per layer)
( i.e, Thickness or Range of THickness for each Layer ) |
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Layer#1: |
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Layer#2: |
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| K. |
Stripe ( Width (%of Coverage Area):
( i.e, Should be expressed, Degrees of 360 or % of Diameter) |
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| L. |
Other |
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| III. Extrusion Head Information: |
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