Custom Order Form

Screw Hook, Screw Eye
Application (end use):
Overall Length L:
Wire Diameter D:
Hook Width C:
Thread Length T:
Hook Gap E:
Hook Angle B:	(Degrees)
Hook Length N:
Shank Length M:
Wire:
	Steel Brass Phosphor Bronze Stainless Steel Other:
Finish:
	Plain Zinc Galvanized Mill Galvanized Zinc, Yellow Dichromate Zinc, Black Dichromate Zinc, Olive Drab Dichromate Zinc, Yellow Dye Zinc, Red Dye Zinc, Blue Dye Black Oxide Phosphate and Oil Nickel Clean and Laquer Plastic Coating Other:
Quantity:	LBS. or  pcs.
Bulk Pack:	LBS. per Keg:    or Pieces per Keg:
Notes, Tolerances, Heat Treating and Other Specifications:
Name and Address Information
Name:
Title:
Company:
Address:
Apt/Suite:
City State Zip:
Phone:
Fax:
E-Mail: