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      First name 
       Last name 
           Title 
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  Street address 
 Address (cont.) 
            City 
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Select one or more of the following items that apply:

Master Coil Width:      Master Coil Weight:

Max. Coil O.D.:      Min. Coil O.D.:

Coil I.D's.:  24 in.    20 in.    16 in. Other Dia.

Max. Slit Width:     Min Slit Width:

Max. Slit Mult Weight:

Stacked Pallet Data:

 Max. Stack Height (including Donnage):   

Max Weight Per Stack:

Pallet Size:     Wide        Long    Height

Plant Power: Volts/Phase/ Hertz

Additional Comments/Information: