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New Application Information Form
	Background Information
	*Company Name	*Date	Fax
	*Primary Contact (first, last)	Position	Phone *e-mail
	Secondary Contact	Position	Phone e-mail
	*Return Address
	Component Information
	*Component Name	Part#	Dwg.#
	Material Specification	*Quantity	Date Needed
	*Method of Manufacturing (e.g. milling, drilling, turning, EDM, cast, etc…)
	Special Information (e.g. special handling, areas to be isolated from processing, cleaning, etc….)
	Production Rate Required from process
	Process Requirements
	Polish     Deburr     Sizing     Radius     Flow Increase
	Please describe the desired post processing result (e.g. surface finish, amount to remove, radius size, flow rate, etc.…)
	Applicable Tolerances (e.g. 32 Ra or better, .348-.351 diameter, 10-12 cfm, etc.…)
	Please ensure that files do not exceed 200k in size and are in jpg, gif or zip format.
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	*Required Fields