Customer Information

Company Name:
Date:
Individual Contact:
Title:
Address:
City:
State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississppi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Country:
Postal Code:
Telephone:
Fax:
Email:

ROLL SPECIFICATIONS

Maximum Roll Weight:
Maximum Roll Diameter:
Maximum Roll Width:
Maximum Web Tension (lb./linear inch):
Maximum Web Speed (ft./min.):
Web Material: Board Paper Film Foil
Other:
Web Thickness/Weight:
Maximum Emergency Stopping Time:

Existing Core Specifications

Core Material: Steel Aluminum Plastic Fiber
Other Core Material:
Steel Capped?: Yes No
Core Inside Diameter:
Core Outside Diameter:
Core I. D. Tolerance: ±
Number of Core Reuses:

Machine Specifications

Type of Machine (sheeter, slitter, coater, etc.):
OEM/Machine Manufacturer:
Model Number:
Approximate Age:
If Shafted, Shaft Manufacturer:
If Shaftless, Chuck Manufacturer:
Single Brake/Drive    Dual Brake/Drive

PROBLEMS WITH PRESENT CORES

Reuse Weight Crush Strength Tear Out
Moisture Absorption Disposal Costs

Others and Comments: