Company Name:
Your Name:
Title:
Street address:
Address (cont.):
City:
State/Prov:
Zip/Postal:
Country:
Phone:
Fax:
Emai:l

Type and size of material to be placed on reel:

Maximum weight of material to be placed on reel:

Quantities normally ordered:

A	Flange Diameter:
B	Traverse (inside to inside):
C	Drum Diameter:
D	Side Disk: Yes No Thickness:
E	Center Support: Number Thickness:
F	Ply/Flange Thickness:
G	Overall Width (outside to outside):
H	Bolts: Number: Diameter: Washer Type: Nut Type:
I	Drive Hole Diameter: Radius (Arbour center to drive hole center): Number of Holes:
J	Arbour Hole Diameter: Plain: Pressed Hub: Plate Style/Size: Plate Bolt Size: Plate Mod.:
K	Start Hole Length: Width:
L	Tare Weight Pounds:
M	Stencil Description: Paint Description:
N	Knockdown Form (with all components): Assembled:
	Special Modifications or Requirements:
O	Stave Thickness:
P	Stave Width: