KIRK-HABICHT COMPANY

Quote Form

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If you would like to receive a Quote,
please complete the form below.

Name:

Company:

Phone:

Fax:

E-Mail:

Please enter the Part Number if we have made this item for you before, For new items please enter all dimensions in the appropriate spaces below:

Spring Type

Part Number

Quantities

Finish If other please specify here:

Measurement: English Metric

Helix Direction
Wire Size
Wire Type
Outside Diameter		Inside Diameter
Body Length		Free Length
Active Coils		Total Coils
Max Solid
Type of Ends		Relationship
Opening

         Square Grind

        Load1 +/- at
        Load2 +/- at
        Rate    +/-

        Initial Tension

Please enter any comments or special information below!

That's it!

Just click the SEND button if you're finished, or click RESET to start again.

If you have problems sending this form, simply print it, complete it, and mail or fax it to us at:

Kirk-Habicht Company
8905 Kelso Drive
Baltimore, MD 21221
Fax: (410) 686-3192
Phone: (410) 686-9100