1. Company Name
2. Contact Name
3. Address
   
4. City
   
5. State / Province / Region
6. Zip Code
   
7. Email
   
8. Phone
   
9. Fax
   

1. Condition NewUsedRebuiltNo Preference
2. Configuration PostSlabVacuumNo PreferenceOther:
3. Platen Size - Left to Right
   Platen Size - Front to Back
4. Tonnage: Tons
   or PSI of platen surface pressure
   Tons of mold breaking force required
5. Stroke
6. Action UpDown
   Single-actingDouble-actingPullback cylindersNo Preference
7. Daylight - Adjustable YesNo
   Number of daylights
   Daylight Dimension
8. Max. Temperature
9. Platen Heating (Required) YesNo
   ElectricSteamHot OilNo PreferenceOther
10. Platen Cooling (Required) YesNo
11. Tooling Attachment Method (Required) NoneT-SlotsTapped HolesOther
12. Cycles Bump? YesNo
    Minimum Cure Time
    Maximum Cure Time
13. Ramping - Pressure YesNo
    Ramping - Temperature YesNo
14. Hydraulic System Use existing central systemMake self-contained
15. Working Height
    Pit available YesNo
    Platform OK YesNo
16. Power Requirement

Please Describe Application

List Any Additional Requirements