Custom Blade Request Form
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for a printable version of this form.
Company Name:
Phone Number:
Fax Number:
Shipping Address:
Contact Name:
Email Address:
Blade Information
Please provide as much detail as possible regarding your application idea or concept:
If you have a picture or drawing for the part, please indicate it here:
Yes
No
If not shown on the drawing, please provide the blade material:
This part is:
A new part being prototyped
An existing part bought from a different vendor
Extra Comments:
Engineering Design Dept.
Lakes Precision Inc.
1900 Epler Court
PO Box 630
Three Lakes, WI 54562
Telephone: 715-546-3070
Fax: 715-546-2565