TALLYRAND

Flying Cut Off Questionnaire

<Please print this form out and fax or mail it to Tallyrand>
When printing is done, please hit the "Back" Button

Name: _______________________________
Company: _______________________________
Street Address: _______________________________
_______________________________
City: _______________________________
State: ____ Zip Code: ___________
Country: ___________________________

Phone:   ________________ Ext:______    Fax:__________________

E-Mail:  __________________________________________
Cut Off Type ______________________________________________
Cut Time _______________
-or- Flywheel RPM
_______________
Die or Carriage Weight _________________________________
Maximum Tube Size: O.D. _______________
Wall
_______________
Minimum Tube Size: O.D. _______________
Wall
_______________
- OR -
Maximum Part Width: _______________
Height:
_______________
Gauge: _______________
Minimum Part Width: _______________
Height:
_______________
Gauge: _______________
Accuracy Required (+/-) _____________________________
Maximum Mill Speed: _______________
Minimum Length _______________
or C.P.M
_______________
75% Mill Speed
Minimum Length _______________
or C.P.M
_______________
50% Mill Speed
Minimum Length _______________
or C.P.M
_______________
25% Mill Speed
Minimum Length _______________
or C.P.M
_______________

Please describe any comments or needed information:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________





Please print this form out, fill it in at your convenience and fax or mail it to us at:

Tallyrand Industrial System, Inc.
P.O. Box 476
Oceanside, CA 92054

Phone: (760) 722-1448
Fax: (760) 966-0160