E-mail this form to
Quotation Request Form info@[Link]
Invoice Name & Address: Date:
Customer
Details
Your Reference: Product Name: Tablet Size:
Contact: Tel: If repeat order, enter previous job no. here:
Press Manufacturer: Press Model: Number of Stations:
Tip-Key Relativity
Upper Punch Lower Punch Die Alignment Tool
(View from tip)
Quantity to Quote 0 1 2
Drawing (If Available)
If drawings are not available, select tool standard and tool type below:
Tooling Design
Tool Standard: Tool Type:
Eurostandard B BB (Ø24) IH12 Kilian 20/28 HATA
TSM Standard Head D BBB (Ø22) IH19 25/32 Groove Stokes
TSM Domed Head EU-441 BBS (Ø21) Comprima 25/32 Slotted Other
Seal Upper Punch None Universal Standard Bellows Required?
Grooves: Quantity:
Lower Punch None Universal
Drip Cups Required?
Die Tapers Both Ends One End None Quantity:
Special Requests: Multi-Tip Design Type: Number of Tips: Reinforced Lowers & Recessed Dies?
Rota-Head Upper Lower Other Design Options:
Please attach all available tablet drawings or list the I Holland drawing reference here:
Upper Tablet Drawing: Lower Tablet Drawing:
If drawings are not available, select shape, profile and tip detail below:
Tablet Shapes Tablet Profiles
Round Capsule Oval Ellipse Flat Faced Flat Bevel Double Convex
Radius
Tablet & Tip Designs
Square Triangle Designer Tip Convex & Ball/Pill Ring
If other shape, Bevel If other profile,
please mention please mention
in comments. in comments.
Upper Punch Tip Detail Lower Punch Tip Detail
Embossed: Embossing: Embossed: Embossing:
Plain: Plain:
Bisect Line: Bisect Line:
Quadrisect: Quadrisect:
Is alignment of embossing or breakline on upper & lower faces required? Yes No
Punch Material: HPG-S HPG-P HPG-SS HPG-MP Other material:
Punch Coating: Please rate the characteristics of your formulation:
(Not required if coating known)
If you know what Pharmacote coating you need, please select below:
Material Selection
HC CT CX PI None Low Medium High
HC+ CN CX+ TN Abrasive
ECxtra CN+ DN RS Corrosive
None Wear Indicator Layer Sticky
If sticky is rated medium or high,
If you are unsure and need advice please click here: provide the API CAS number:
Die Material: HPG-P HPG-SS HPG-MD HPG-TC (insert) HPG-TC (solid)
Die Coating: None HC TN CN
Additional Comments / Requests:
Notes
Delivery Time: Standard Expedited (extra cost applies) Representative:
QRF-01 Iss01 • [Link] • info@[Link] • +44 115 972 6153
