MDM: duMont Corporation - Special Request Form

Maryland Metrics offers:
duMONT "Minute Man"® Broaches

**Request a quote for Special "Minute Man®" Broaches**

To save time, insure accuracy, and simplify quoting and/or ordering duMONT "Minute Man®" Special Broaches, fill-in and submit this form - we'll have duMONT respond to your request. Please complete the form below with enough information to assure an accurate quotation.

To send this form via e-mail: press the 'SEND' button. If your browser does not allow you to fill in forms, then you may print this form and either fax it, or mail it to us.

COMPANY NAME:
FIRST NAME:
LAST NAME:
TITLE :
STREET ADDRESS:
MAIL STOP (If required):
CITY:
STATE:
ZIP:
COUNTRY (Only if not USA):
PHONE NUMBER:
EXTENSION NO.:
FAX NUMBER:
E-MAIL ADDRESS:
(We will acknowledge your quotation request by e-mail)

YOUR WEB PAGE ADDRESS ( URL)*:

* OPTIONAL RESPONSE

Would you like to be contacted by phone?
Yes
No

Would you like to open a new account? (We will fax or e-mail a credit application form)
Yes
No

Into what category would your requested application fit?

1. Description of Cut - Size & Shape: i.e. Square, Hex, Round, Keyway, D-Hole, DD-Hole, Serration, Rectangular, V-notch, Etc.
1A. Tolerance:
2. Length of Cut:
3. Type of Material to be Broached: 4. Condition of Hole or Surface before Broaching -
4A. Size & Shape of Pilot Hole: If hole is cast, give minimum hole size, including draft and fillet radii, if any:

5. For Keyway Broaches give - Minimum Bore Size:
5A. Keyway width:
5B. Tolerance:
5C. Depth of Keyway, measured across Bore:

6. Type of Broaching Machine used: Push Type: Pull Type:
6A. Tonnage Value:
6B. Ram Travel:
6C. Daylight Opening:

7. Please enter any comments or specific requests here:

In addition, a fully dimensioned drawing of the finished part, casting, forging, or Broach would be most helpful.
You may FAX Maryland Metrics at (410) 358-3142 or (800) 872-9329

duMONT Page Index Top of Page Metric Keyways, Bushings & Shims
Metric Broach Sets Metric Square Broaches
Metric Hexagon Broaches Metric Keyseating Broaches
Metric Production & One Pass Broaches Special Metric Broaches
Request duMONT Catalog Special Broach Quote Form

Phones: (800) 638-1830 or (410) 358-3130 are available Monday-Friday 8:30 AM to 5:30 PM Eastern time.
Faxes: (800) 872-9329 or (410) 358-3142 & E-mail are available anytime.
Warehouse & showroom hours are Monday-Friday 10 AM to 5:30 PM.
[ To: Maryland Metrics home page ] [ To: Maryland Metrics Product Guide ] [ e-mail to Maryland Metrics ]
Please note that all Trademarks and Tradenames are the property of their respective owners.
copyright 1998, 2000, 2003, 2004, 2005, 2006, 2008 maryland metrics -- all rights reserved -- ver dd15c specialdum.html (1x)