Threading Technology – Clamping Technology 520

662 Test-A-Thread Mill Application Form Copy and Fax or Mail EMUGE Corp. · 1800 Century Drive · West Boylston, MA 01583-2121 Phone (508)-595-3600 · Fax (508) 595-3650 · Toll Free (800) 323-3013 · www.emuge.com · emuge@emuge.com Customer Information Distributor Name: End User Name: City: State: Zip: Division: Phone: ( ) Fax: ( ) Street: Contact Person: City: State: Zip: Purchase Order #: Date: Phone: ( ) Fax: ( ) Ship Via: To: Contact Person: End User Reference #: EMUGE Order #: EMUGE Customer: Yes No Needs Catalogs: Yes No Needs Engineer: Yes No Thread Milling Application Thread Size: Pitch: Class of Fit: Hole Type: Through Blind Material: Hardness: Thread Length: Drill Depth: Machine Tool Manufacturer: Position of Spindle: Vertical Horizontal Maximum RPM of Spindle: Type of Controller: Coolant System: Through Spindle External Type of Shank Connection: EMUGE Recommendation Quantity: EDP#: Description: List Price-$/each: CALL EMUGE’s THREAD MILLING DEPARTMENT IF YOU NEED TECHNICAL ASSISTANCE. Remarks/Sketch Continue notes on separate sheet if necessary

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