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Special Collet Or der Form<br />
Today’s Date: ___________________________ Please Specify Method of Shipping<br />
Date Order Required: _____________________ _______________________________________<br />
Customer Number: _______________________<br />
Purchase Order Number: __________________<br />
Is This Your First Order: Yes ❑ No ❑<br />
Bill To: Ship To: (If different from Bill To)<br />
Name: ______________________________ Name: _______________________________<br />
Title/Dept.: ___________________________ Title/Dept.: ___________________________<br />
Company: ___________________________ Company: ____________________________<br />
Address: ____________________________ Address: _____________________________<br />
City, State, Zip: _______________________ City, State, Zip: ________________________<br />
Phone: ___________ Fax: ____________ Phone: ___________ Fax: _____________<br />
• Fill in the Type of Collet being used, ex: <strong>Hardinge</strong> 16C. • Find the illustration of the configuration needed. • Put a Bold “X” in the<br />
small box to indicate that configuration. • Write the required dimensions next to their corresponding numbers in the chart below.<br />
Note: Only fill in the dimensions for the numbers from one illustration.<br />
Type of Collet: (5C, Index B60, etc.)<br />
1. Order Hole Size: _______________<br />
2. Order Hole, 2nd: _______________<br />
3. Number of Slots: _______________<br />
4. Radius: ______________________<br />
5. Bearing Length: ________________<br />
6. Bearing Length Front: ___________<br />
7. Back Drill Dia.: ________________<br />
8. Relief Dia.: ___________________<br />
9. Relief Length: _________________<br />
10. Depth of Step, 1st: _____________<br />
11. Depth of Step, 2nd.: ____________<br />
12. Auxiliary Hole Size: ____________<br />
13. Length of Extension: ___________<br />
14. Dia. at Face: __________________<br />
15. Degrees Taper/Chamfer: ________<br />
16. Front Dim. of Taper: ____________<br />
17. Rear Dim. of Taper: ____________<br />
18. Taper-Industrial Std: ____________<br />
19. Off Center Distance: ____________<br />
20. Order Hole - Width: ____________<br />
21. Order Hole - Length: ___________<br />
22. Thread Length: ________________<br />
23. Threads Per <strong>Inc</strong>h:______________<br />
24. Right/Left Hand Thrd.: __________<br />
25. Class Thread (1), (2), (3): ________<br />
26. Chamfer Depth: _______________<br />
27. Inscribed Circle: _______________<br />
28. Circumscribed Circle: ___________<br />
29. Clearance Bore: _______________<br />
30. Actuator Stroke: _______________<br />
Bearing Relief Single Stepped Double Stepped<br />
Chamfer - Depth Chamfer - Diameter Radius<br />
Chapter 5<br />
Page 143<br />
Special Bearing Length Eccentric Step - Aux. Off Center Eccentric Step - Aux. On Center