Name:

Company:

City, State, Zip:

Phone:

Fax:

Email:

Thread Size & Pitch:

Class of Fit (or specific PD):

Thread Form (60 degree, acme, etc.):

Right or Left Hand:

If Pipe Tap, specify Series (NPT, NPTF, BSP, etc):

Projection if Applicable:

Part Material:

Part Rc:

Hole (Thru or Blind):

Desired Chip Direction:

Drill/Bore Size:

Part Print Available (Y/N):

Describe any non-standard features required on tap (e.g. extended length, special projection, coolant thru hole, etc.):

Describe current tapping problems on this application:

Want us to recommend and quote best tap design & coating for the application? (Y/N):

Desired tap quantities to quote:

If long run job, approximate annual number of taps?