Information Request Form

 

This is a web form which you must fill out and press the “Send” button at the bottom of the form.

Please fill out as much of the information as you can, so we can get you the proper information as soon as possible.

 

Name:             

Company :       

Mail Address:  

Mail Address:  

City                 

State/Province  Zip/Postal Code

Country:          

Telephone:       

Fax:                 

Email:              

What can we get you more information on?

Which plastics / silicone / rubber do you wish to run? 

How many lbs. per houror kg. per hour? 

What type of extruded product do you wish to make? 

What are the dimensions and tolerances of the product ?

What is the voltage and phase available? 

Thank you.

Please push the “Send” button to send this form to Wayne Machine for immediate action.

If you have any problems, you can always send us email at info@waynemachine.com

 


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