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Inquiry Form (Detailed)

Please fill out the form below with your application needs and provide a part print showing Specific

Operations & Marked in Sequence of Operation.  You can send it as an attachment to

inquiry@cushmanindustries.com or fax it to 708-410-0175.  When sending drawings electronically

please provide the drawing in PDF format. 

Contact Information
* - Required Field
First Name*:  
Last Name*:  
Company Name: 
Street Address: 
City: 
State or Province: 
Zip or Postal Code: 
Country: 
Telephone*  
Fax: 
Email Address*  

PART INFORMATION
Part Name: 
Part Number: 
Locating Area or Chucking Dia.: 
Tolerance: 
Rough      Semi-Finish      Finish
End Locating Faces Condition:   Rough      Pre-Machined
Square to Chuck Dia.: 
Material: 
Casting      Forging      Tubing
Heat Treat Rock "C" or BHN

ACCURACY REQUIREMENTS
Concentricity: 
Parallelism:
Squareness: 
Roundness: 
Flatness: 

MACHINE OR EQUIPMENT
Make & Model: 
Serial Number: 
Number of Spindles: 
Spindle Mounting: 
Hole thru the Spindle and Size: 
RPM: SFPM:
Feed (In./Min.): 
Stock Removal:
Number of Passes: 
Cutting Operations: Dry      Oil      Water Sol.
Machine H.P.: 
Machine Voltage: 
Hyd. Cylinder      Air Cylinder      Other

If Other, Please Explain :

Retrofit      New Machine
Self Contained Method of Actuation
Machine Max. Swing: 

Special Requirements of this Application:

Surrounding Environment : Dirty      Clean
(to determine chuck surface seals and cover requirements)

Does Customer have a particular type of work holding in mind?


OTHER INFORMATION
Approx Production Cycle:
Balance ISO Grade (if required):  
Quantity of Chucks Required: 
Any additional information or comments, Please use the box provided below.


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Copyright © 2005 Cushman Industries. All rights reserved.
Last modified: 06/20/07.