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Order Information

To order Punches & Dies, you can either have us contact you to get your specifications, or if you know exactly what you want, you can complete the order form with the information, then click submit. We will get back to you promptly. If you would like only to send a comment, question or suggestion, please click here.

  I am ordering now

 Please contact me to order

Your Name:
Company:
Address1:
Address2:
City:
State/Province:
Country:
Phone:
FAX:
E-mail:

For each product you would like to order, please complete the applicable 
information below. For details about a field, click on the field name
.

Product 1
Qty Product Shape Type D P or I.D.
W L or OL B or Land Material H T
Product 2
Qty Product Shape Type D P or I.D.
W L or OL B or Land Material H T
Product 3
Qty Product Shape Type D P or I.D.
W L or OL B or Land Material H T
Product 4
Qty Product Shape Type D P or I.D.
W L or OL B or Land Material H T
Product 5
Qty Product Shape Type D P or I.D.
W L or OL B or Land Material H T
Product 6
Qty Product Shape Type D P or I.D.
W L or OL B or Land Material H T

If you would like to order more than 6 different products, you can either submit the 1st 6 now, then click the "Back" button on your browser to return to this page and submit additional products, or you can simply submit your name and company information above and we will contact you soon. 

If you would like to order a special shape or other product not listed above, please describe below and submit.

Comments or Special Instructions:

Before submitting, you can print a copy of
this order for your records by clicking the
"Print" button on your web browser


5536 International Dr. / Rockford, IL 61125 / 
(815) 874-5544 / FAX (815) 874-4560 / 
info@micropunch.com / ©2000 Micro Punch & Die Co.