Zenox Assembly Quote Request Form |
| Company Name: |
|
| Customer Reference Number: |
(ie. Drawing# or Project#) |
| Desired Ship Date from Alamo: |
 (mm/dd/yyyy) |
| Quantity Required: |
|
| Style: |
Standard |
|
Special (D8002BA) |
|
| Type of Mounting (STD style only): |
|
| *Total Number of Zenox Discs: |
|
| Total Number of Leads: |
|
| Use Standard Lead Length of 300mm?: |
Yes |
No |
| Note: Lead Lengths other than 300mm will require extended lead times |
| Lead Length in Millimeters: |
|
| Special Lead Identification Required?: |
Yes |
No |
| Lead#1: |
Lead#2: |
| Lead#3: |
Lead#4: |
| Lead#5: |
Lead#6: |
| Lead#7: |
Lead#8: |
| Lead#9: |
Lead#10: |
| Lead#11: |
Lead#12: |
| Lead#13: |
Lead#14:
| Lead#15: |
Lead#16: |
| Lead#17: |
Lead#18: |
| Lead#19: |
Lead#20: |
| Lead#21: |
Lead#22: |
| Lead#23: |
Lead#24: |
| *Each Zenox disc is manufactured by MEIDENSHA Corp., Type ZE64G23 class L for use |
| under oil, MEIDENSHA Spec No.: EL-1480B and identification file F05-027. |
If you have a drawing or other document you would like to attach to this request
click the "Browse" button below and select the file you wish to attach.
(Allowable file types: DWG, DXF, PDF, DOC, ZIP, JPG, TIF, GIF, BMP)
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