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	A-G Tool and Die
	5927 State Route 128, P.O. Box 250, Miamitown, Ohio 45041 Tel: 513-353-3090Fax: 513-353-3095E-Mail: info@seilkop.com

A-G Tool and Die
5927 State Route 128, PO Box 250
Miamitown, Ohio OH 45041
Phone: 513-353-3090
Fax: 513-353-3095

A-G Tool and Die Information

First Name:
Last Name:
Company:
Address:
City:
State:
Zip Code:
Phone:
Fax:
E-Mail:
Part Print Number & Revision Number:
Part Name:
Material and Grade:
Type of tooling required: (Class A, B, C)
Process:	1-Out Progressive 2-Out Progressive Single Hit Transfer Tool
Press Specifications:
Estimated Annual Volume:
Date of first piece / Date tools need to be delivered:
Delivery Location: if different than company
Additional Manufacturing and Delivery Instructions:
Comments or Questions:
Attach CAD Drawings:
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