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Custom Valve Services

ORDER INFORMATION

Ship To: Customer No:
Street: Date Ordered:
City: Date Needed:
State: Contact Name:
Zip: Quantity Ordered:
Phone: Fax:

 

SPECIFIC INFORMATION NEEDED

  • Head Diameter

  • Stem Diameter
  • Face Width
  • Margin Thickness
  • Overall Length
  • Do you want the tip hardfaced with   Lash Cap
  • We need a PRINT or a SAMPLE with a note of all details
           Notes:
                 use pm p/n:
                 as a blank:
                 application:
  • Special Instructions

 

 

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