MBW CG200 - Manual (Page 56)

54
MBW INC. MOLD ORDER FORM
DEALER :
ADDRESS :
SALESMAN :
PHONE :
FAX :
CONTRACTOR :
ADDRESS :
PHONE :
MOBILE :
FAX :
MOLD PURCHASE ORDER OF THE MOLD WILL NOT BEGIN UNTIL ALL
REQUIRED INFORMATION IS RECEIVED !!! THEN 10 WORKING DAYS ARE
NECESSARY TO PRODUCE A MOLD. FULL PAYMENT IS REQUIRED BEFORE
SHIPMENT.
Main Unit Serial # :
Side Drive Serial # :
Size of Hopper Opening For Mold
Use hopper size chart
HEIGHT :
WIDTH :
POURING CONDITIONS
ON GRADE : YES / NO
BELOW GRADE : YES / NO
When pouring below grade, a drop pour
adapter and the following information will
be needed.
DEPTH :
CLOSED SIDE :
YES / NO
OPEN SIDE : YES / NO
Open side drop adapter pour up against
existing roadway. There is an additional
charge for a drop pour adapter.
WIDTH
HEIGHT
Max Height = 18"
Max Width = 60"
REBAR LOCATIONS
When rebar is required three options are
available.
A ) You will modify your current hopper.
B ) A new hopper can be purchased.
C ) A new front cover can purchased.
Dimensions for rebar will be needed.
D ) There will be an additional charge for
MBW Inc. to modify hoppers for rebar.
E ) Molds will not travel over curved rebar.