Name:

Company:

City, State, Zip:

Phone:

Fax:

Email:

Thread Size, Pitch, & Series:

Class of Fit:

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

Right or Left Hand:

Work or Set Plugs:

Double–End or Single-End Go/No Go:

Type (Taperlock, Trilock, or Reversible):

Tolerance (W, X, Y or other):

Thread Size, Pitch, & Series:

Class of Fit:

Thread Form (60 degree, acme, etc.)

Right or Left Hand:

Go or No Go (or both):

Tolerance (W, X, Y or other):

Setting Plug Required or will it be Furnished by Customer:

Plain Plug Style (Double-End Go/No Go or Single-End Go and/or No Go):

Plain Plug Type (Taperlock, Trilock, or Reversible):

Plain Ring Gage (Master Go, No Go, or both):

Exact OD or ID of Gage Member:

Tolerance (W, X, Y or other):

Describe any non-standard features required on Gage (e.g. special marking, number and position of steps, special pitch diameter, special thickness, chrome coated, etc.):

Handles or Holders Requested (Y/N):

Gage quantities to quote: