Name:

Title:

Company:

Street Address:

City / State / Zip:

Work phone:

Fax:

Email:

Country:

Type of material being sealed::

Thickness of blister:

Thickness of card:

Size of card:

Depth of blister:

Size of blister flange:

Die board material:

Sealer pad material:

Material Thickness:

Spring pins?

Spring pin type:

Spring pin quantity:

Outside dimension of finished trim tool:

Total area or width

Aluminum  Wood Phenolic Other

Yes No

If Wood

Type of board:

Finished height of trim tool:

# up:

CAD Drawing Supplied  Drawing Supplied  Sample Supplied

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