Company Name:
Contact Name:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Telephone No.:
E-Mail:

Machine Name :	Type of Machine:
Spindle H.P.:	RPM:
Operation: Wet Dry	If wet, what is the coolant pressure
Statement of objectives (e.g., finish, cycle time, wheel life, etc.)

Material Being Ground

Carbide:	Grade:
Cobalt %:	Steel:
Type of Steel:	Hardness:
Other Information:

Profile Specifications:

Diameter and Tolerance:
Thickness and Tolerance:
Arbor Hole Size:
Radius, Angles, Specific Shapes, Etc.:
Notes: