General Information - Parts Order Form

Parts Order Form

Name:
Company:
Email:

Phone:
Fax:

Billing Address:

Shipping Address:

Machine Serial Number:
Purchase Order:
F.O.B.:
Ship Via:

I want to order a part(s) for a wire EDM:
I want to order a part(s) for a die-sinking EDM:
I want to order a part(s) for a Brother EDM:

Please fill out the information below. If you do not have the pricing of the
part you are ordering, please contact Charmilles at 847-913-5300 or 800-282-1336:

Part Number	Part Description	Quanity	Price

All orders recieved before 2 p.m. C.S.T. will be placed that day. You will recieve a confirmation that your order has been recieved and placed within on business day.