CUSTOM BLADE REQUEST SHEET
In order for Lakes Precision to recommend the correct cutting and stripping blades for the wire samples submitted, the following information is required.
Company Name___________________________________________
Address________________________________________________
________________________________________________
Phone Number_____________________________ Fax Number____________________________________
Contact Name______________________________________________
Date___________ Email:_____________________
BLADE INFORMATION
Please provide as much detail as possible regarding your application or idea:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
If not indicated on an enclosed picture or drawing, please indicate blade material:
__________________________________
This Part is: ______ A new part being prototyped
______ An existing part from a different vendor
Extra Comments:
_______________________________________________________________________________
_______________________________________________________________________________
To assist us in meeting your specifications, please include any available pictures or drawings with this request
Send a copy of this form and extra designs to:
Engineering Design Dept.
Lakes Precision Inc.
1900 Epler Court
PO Box 630
Three Lakes, WI
54562
Telephone: 715-546-3070
Fax: 715-546-2565