Company Name

Production Tool

Contact Name / Phone #

Prototype Tool

Part Name / Part #r

Designed By Ameritech

Yes       No

Number of Cavities

Required Cycle Time (if known)

Material / Shrink

Shots Per Year (if known)

Mold Construction Standard 2 Plate 3 Plate Hot Runner Shuttle Compression Transfer Stack Arburg Mud Unit

Mold Base Steel DME #2 (4130) DME #3 (P-20) Stainless Steel Other

Cavity Material Check Box if Inserted H-13 S-7 P-20 Stainless Steel BeCu (Mold Max) Aluminum Other (Comments)

Core Material Check Box if Inserted H-13 S-7 P-20 Stainless Steel BeCu (Mold Max) Aluminum Other (Comments)

Gate Method Edge / Fan Center Sprue Subgate-Part Subgate-Pin Pin Point Cashew Other

CAVITY

Mold Actions

CORE

SELECT

Ejection

SELECT

Temp. Control

SELECT

Special Features

Angle Pin

K.O. Pins

Drilled Lines

Hot Sprue

Cam

Blades

Baffles

Parting Line Locks

Hydraulic

Sleeves

Cascades

Guided Ejection

Lifter

Stripper Plate

BeCu Insert

Spring Loaded

Flexicore

Air Poppet

Other (Comments)

Reverse Ejection

Colapsing Core

Other (Comments)

Positive Return

Unscrewing

Plate Locating Switch (s))

Comments

CAVITY

Finish

CORE

SELECT

Engraving

SPE 1

None

SPE 2

Inserted

EDM

Logo

Texture

Part Number

Machine

Cavity I. D.

Other (Comments)

Recycle Code

Date Wheel

Other (Comments)

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