ALBERT LEA ELECTRO PLATING, INC.

808 12th Street PO Box 89, Albert Lea, MN 56007 phone (507)373-8261 Fax (507)373-1716
e-mail alep@lakes.com

Customer Report

Company Name

Address Phone

Contact Title

Part # (required) Print Available yes no

Wgt. # (Critical for Accurate Quotes)

Base Metal: Steel, Zinc, Brass, Copper, Other

(please indicate steel as CRS, HRPO, or HR with Gauge or Thickness)

Plating Process: Rack Barrel Post Bake Required: _____ yes _____ no
ALEP is not responsible for nicks, dings, or damage on items requested for barrel finishing, gauged items should be rack plated.

Special area for racking preferred

Preplate preparations: Polish, Grind, Other

Plating Specifications (indicate if bake required) ______________________________________________

Packaging Requirements

Release Quantity _____________ Frequency _________________ Annual Quantity _______________

On Old Work

Problem areas, if any

Freight: Our truck Their delivery

Turn around required

Special Handling Required

Loading dock available yes no

Customer containers Size

Our forklift handles 4500#. Customer forklift capability

On machined parts: Any special oils or solvents

Name and number if available