Name:*
 Company:*
  Address:* Street:

City:


State:   Zip: 
  Phone Number:*
  Fax Number:
  E-mail Address:*


* required
1. Type of material being wound:
Paper    Plastic    Other 

2. Rewind core size:  

3. Rewind core less:  

4. Width of web or trim being wound:
     A. Minimum width    Minimum weight 
     B. Maximum width    Maximum weight 

5. Line speed of existing web:    

6. Mazimum wound diameter of trim or web material:
    

7. Optional air expanding rewind chuck:
     A. Button style chuck:  Yes   No 
     B. Leaf style chuck:  Yes   No 

8. Rewind back flange:  Yes   No 

9. Rewind front flange:  Yes   No 

10. Is oscillator required:  Yes   No 
   


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Button Style
Expanding Shafts
Leaf Style
Expanding Shafts
Lug Style
Expanding Shafts
External Strip
Lug Shaft
Differential
Controlled Slip Shaft
Medium/Heavy Duty
Safety Chuck
Light Duty
Safety Chuck
Bayonet
Drive Coupling