HOT RUNNER QUOTE REQUEST FORM ACI D&N Parc Gustave Eiffel – 4 avenue Gutenberg – BP 50 Bussy St Georges – 77607 Marne la Vallée Cedex 3 Phone : +33 1 64 76 41 22 Email : [email protected] Customer Data : Company :………………………………………………………………….. Address :…………………………………………………………………….. ZIP Code :………………………………….. Application Data : Part name :………………………………..………………………………………….. Part number :…………………………………. Part dimensions :…………………………………………………………………….. Part weight :

HOT RUNNER QUOTE REQUEST FORM ACI D&N Parc Gustave Eiffel – 4 avenue Gutenberg – BP 50 Bussy St Georges – 77607 Marne la Vallée Cedex 3 Phone : +33 1 64 76 41 22 Email : [email protected] Hot Runner Configuration : Nozzle length : By default, we will provide you standard (L) length as per our catalog. (L) length can be adjusted by adding custom step between manifold and nozzle Nozzle Length under manifold L :…

HOT RUNNER QUOTE REQUEST FORM ACI D&N Parc Gustave Eiffel – 4 avenue Gutemberg – BP 50 Bussy St Georges – 77607 Marne la Vallée Cedex 3 Phone : +33 1 64 76 41 22 Email : [email protected] Hot Runner Configuration : Layout : Nozzle Length under manifold L :…………………… Nozzle Length under

HOT RUNNER QUOTE REQUEST FORM ACI D&N Parc Gustave Eiffel – 4 avenue Gutenberg – BP 50 Bussy St Georges – 77607 Marne la Vallée Cedex 3 Phone : +33 1 64 76 41 22 Email : [email protected] Hot Runner Configuration : Layout : ☐ 4-in H. Nozzle Length under manifold Nozzle Length under manifold

HOT RUNNER QUOTE REQUEST FORM ACI D&N Parc Gustave Eiffel – 4 avenue Gutenberg – BP 50 Bussy St Georges – 77607 Marne la Vallée Cedex 3 Phone : +33 1 64 76 41 22 Email : [email protected] Hot Runner Configuration : Custom Layout : from 12 and more nozzles. And for custom nozzles position. If custom layout, please figure out here the position of the nozzles with dimensions (X/Y) (Y ,Y)