Haeger Custom Tooling Request for Quotation Form

A PennEngineering® Company


Items in RED must be filled in

Global Region:
 

Name (Requestor):
Customer (End User):

 
 

Salesperson:
Customer Contact Name:

 
 

Distributor:
Customer Phone Number:

 
 

Email Address:

   

Other Email Address:
 


Other Email Address:
 

Description of Tooling Requirements (Desired type of tooling - Automatic Top Feed, Automatic Bottom Feed, manual, J-Frame, etc.):
 

Is this tooling for an installed machine?
 

Is this tooling for a robot-ready machine?
 

Original Order Number (for replacement parts):

Haeger Model:
 

If Other:

MAS Size:
 

Fastener Information

Fastener Manufacturer: ( , PSM, Hank, Kalei, Strux, Captive, Kerb, Konus, etc. - 25 to 300 samples may be required):
 
Fastener Part Number: (If no part number, please attach a signed spec/tolerance sheet):
 

Panel Information

Panel Description: (Flat, Formed, Reverse flange, to be inserted in the flat, fastener near flange, etc. - part may be required.):
 
Panel Material:
 
Additional Information:

Attachment(s) (Please attach any applicable drawings of sample parts or specifications needed -- file formats such as DWG, DXF, PDF, and DOC are preferred)