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ACME Steel Company

Current Customer Order with new Dimensions Form

Customer Number: Purchase Order No: 
If you have entered a valid "Customer Number", you need only fill in the "Name" and "Phone" fields in the "Sold To" section below.

If the "Sold To" info is the same as "Ship To", you may skip the "Ship To" fields.

Sold To
Name: 
Title: 
Company Name: 
Department: 
Address: 
City: 
State: 
  Zip: 
Country: 
Phone: 
E-Mail: 
Ship To (skip ahead if same )
Name: 
Title: 
Company Name: 
Department: 
Address: 
Suite: 
City: 
State: 
  Zip: 
Country: 
Phone: 
E-Mail: 

DIMENSIONS
Part # or Name
__
Quantity :

in lbs. or kgs.
Use Metric
_Yes
No
Date Required

mm/dd/yy
Thickness : Width : Length :
Tolerences

Special Instructions/Comments: if "other" is selected above, please specify here.

DESCRIPTION:
PRODUCT
Strip _Sheet _U.M. Plate _M.E. Plate
Bar _Hoop _Other (please specify):
CATEGORY
Carbon _Alloy _Boron _HiStrength Low Alloy
_Other (please specify):
QUALITY
CQ _DQ _AK _PQ
MQ _SQ _Other (please specify):

HOT ROLLED_ COLD ROLLED_
Check all that apply
Plain Pickle Oil
Dry Galv Trim Edge
Slit Edge Mill Edge Box Ann
Sphero Ann Stress Relief
Other (please specify):
CR FINISH ...
CR EDGE ...
CR TEMPER ...

GRADE
Type:
Customer/Industry Specs:

CHEMISTRY
C Min. % Max. %
Mn Min. % Max. %
P Min. % Max. %
S Min. % Max. %
SI Min. % Max. %
Chemical Comments:

COIL _ CUT TO LENGTH_
ID Min. Max.
OD Min. Max.
WT Min. Max.
PIW Min. Max.
Bundle _ Pc Count _ Yes No
Shorts Allowed Yes No
Under 4.5" width
Stack Req.?
Yes No
Ship Unit : ___ Min.___Max.

PACKAGING AND LOADING INFORMATION
Roll Position Skids
Blocks Spacers
Side Unload_ or_ Rear Unload_______ Forklift_or _ Crane__

Flatbed Only__ Lowside__ Van__ Container__

Comments:

SHIPPING INFORMATION
Customer Truck __ __Rail Common Carrier __
Pre Paid__ Collect Preferred Carrier
Comments:

13500 SOUTH PERRY AVENUE, RIVERDALE, ILLINOIS 60827 (708) 849-2500

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