F a x

1-408-572-5678


M a i l

Shima American Corp.
500 Park Boulevard, Suite 480
Itasca, IL 60143
USA


P h o n e

1-408-572-5677

Your Name: Title:
Company:
Street:
City:   State:   Postal Code:
Country:   Your Department:
Phone: Fax:
Email: Website:


I. Type of Facility: (select one)

Gravure Cylinder Engraving Shop
Gravure Cylinder Engraver & Printer
Gravure Cylinder Printer (no engraving in-house)
Anilox Roll Engraver
Specialty Roll Builder
Other:


II. Type and Quantity of Grinding/Polishing Machines for Cylinders:

Type Quantity
Acigaf
Ecograph
Graphicart Duomat
MDC Daetwyler Polishmaster
MDC Daetwyler Finishmaster
Flying Scot
K-Walter
Mirac
Sanko Kikai
Standard Process
Other


III. Type of Stones and Quantity Currently Used:

Stone Source #1:
Monthly Usage:

Stone Source #2:
Monthly Usage:



IV. Please Contact Me About (select as many as required):

Test Stones for Our Grinder/Polisher
Interest in a Used Grinder/Polisher
Blanket Order Program for Aion Stones
Other: