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Pre-coated screw process inquiry form

Customer Name*

Contact Person

Contact Phone*

Fax

Address*

E-mail*

Pre-coated Workpiece

Product Name

Is the Screw Magnetic:

Yes No

Pre-coating Requirements

Thread Length:

Width (Full/Half Circle):

Sealing:

Pressure Resistance:

Anti-loosening:

Loosening Torque:

Sample Pre-coating:

Yes No

Drawing Attached:

Yes No

Selected Pre-coating Material:

Remarks: