Mold Quotation and Specifications
Please include email address and phone number and provide your own reference number.
If you have any questions please contact us at
(585)392-5990 FAX (585)392-2246
info@hdkmold.com

TO: Harald Juergens	FROM: (Name and Address) Email Address Phone Number FAX Number	REFERENCE NO.
		.

We are pleased to submit the following quotation, F.O.B. our plant, as per following specifications: END USER NAME

No.of Cavities	Piece Part Name	Part No.	Rev. No.	Price	Delivery
	Part Name	Part No.	Rev. No.	Price
Additional Comments or Requirements

Type of Mold	Special Features	Mold Construction	Ejection
Injection	Guided Ejector	Standard	Cores
Prototype	Spring Loaded K.O.	3 - Plate		Pin
Unit Tool	P.L. Interlocks	Stripper		Blade
Other	Other	Unscrewing		Sleeve
		Automatic		Stripper
		Hot Runner		Lifter
		Brand		Air
				Unscrewing
				Hand

				Engraving
Mold Base Steel	#1	#2	#3	Cores		Cavities
Additional Comments or Requirements					Cav. I.D.
Material					Date Code
Type		Hardness			Inserted
	Cavities	RC			Recycle Code
	Cores	RC		Moldmaker		Customer
	Actions	RC			Artwork By

Side Actions / Lifts

Gating Type

Cores

Cavities

 Edge

Angle Pin

 Center Sprue

Hydraulic Cyl.

 SubGate

Air Cyl.

 Pin Point

Cam

 Hot Valve

Spring Load

 Hot Edge

K.O. Activated

 Hot Tip

Other

Other:

		Finish					Design
Cores				Cavities	Moldmaker			Customer
	SPI/SPE #					Layout Only
	Texture					Detailed
	Mach. Finish					Media Type
	Chrome Plate					2D CAD
	Tin Plate					3D CAD
	N. CAD Plate					Incl. Prelim.
	Other

Additional Requirements			Approximate Mold Size
Moldmaker		Customer	No. Cavities	W	L	H
	Sampling
	Resin
	Heaters
	Hot Runner
	Accurate Models
	Duplicating Casts
	Mold Flow
	Analysis
	Cooling Analysis

THIS QUOTATION WILL BE USED TO DETERMINE A PRICE QUOTE FOR THE ABOVE SPECIFICATIONS.
H. D. & K. Mold Co. Inc. will contact you with the mold quote. After you hit submit the next page will give you a printable page of the contents of this form for your records.

ADDITIONAL COMMENTS (if any)