Application Engineering Request Form

In order for Lakes Precision to recommend the correct cutting and stripping blades for the wire samples submitted, please submit the following information. Click Here for a printable version of this form.
*Required Fields

*Company Name:
*Shipping Address:
*Contact Name:
*Phone Number:
Fax Number:
Email:

Application Information
*Machine Make: (please select one, include any others in 'Other Requirements' box)
Amp
Artos
Dorema
Eubanks
Filomat
Ideal
Kodera
Komax
 Makfil
Megomat
Metzner
Schleuniger
Shinmaywa
Toyojamco
Other (please list)

*Machine Model & Serial#:
*Wire Type:
*Wire Specifications:
Trailing End:
Strip Length:

Slit Length:
 Leading End:
Strip Length:

Slit Length:
*Do you have a cord slitter or pre-slit operation?
No
Yes
Processing:
One end only
Both ends
*If you have a picture or drawing that may help our engineers in their decision, please indicate it here (able to be sent via email, for physical pictures/drawings, see instructions below):
Yes
No
Application difficulty or other requirements:
 
Please send two feet of the sample wire and label the sample.
Also include any sketches or drawings that may be helpful.
Thank you for your cooperation.

Please send the wire to the following address:

Engineering Design Dept.
Lakes Precision Inc.
1900 Epler Court
PO Box 630
Three Lakes, WI     54562


Telephone: 715-546-3070
Fax: 715-546-2565