Style of Brush ( Staple Set or Metal Back Coil )
| A. Shaft Diameter |
H. Brush Face |
| B. Shaft Extension |
I. Core Length |
| C. Shaft Keyway |
J. Shaft Keyway |
| D. Shaft Diameter |
K. Shaft Diameter |
| E. Shaft Extension |
L. Shaft Extension |
| F. Brush Diameter |
M. Shaft Diameter |
| G. Core Diameter |
N. Shaft Length |
| Core Material |
Bristle Material |
| Bristle Diameter |
Bristle Style |
Date______________________ Quantity to be ordered ________
Name_____________________ Company__________________
Address_____________________________________________
City______________________ State________Zip___________
Phone____________________ Fax ______________________
Print this form, fill in the information and fax it to (502)584-2086 for a
price quotation and shipment lead time. |
