Form

ElectroGrip Superabrasive Tool Questionnaire

Company Name*

Email*

Name*

Title*

RSM

Address*

City*

State/Region

Zip Code:

Phone number*

Payer*

Payer Contact Info*

Sold To

Sold To Contact Info

Superabrasive Type*

Size of Grit*

Service Required*

Sample Available?*

Yes

Customer Drawing Available?*

Yes

Attach Drawing

Customer Part Number

Engis Part Number

RMA/IMA #

Application*

Wheel Size*

Width*

Material*

Material Hardness*

Flatness Requirement*

Surface Finish MAX Requirement*

Surface Finish MIN Requirement*

Machine Type:*

Coolant Type/Pressure*

NOTES:*