Rotor Clip Co., Inc.  
The World's Leading Retaining Ring Manufacturer

To request retaining ring samples (5" in diameter and below only), simply fill out the form below. Once we have received your request via the web, we will ship WITHIN 24 HOURS, versus 1-2 weeks if you phone in your sample order. All samples are shipped first class mail unless you specify anything else, which will then be shipped at your expense. (Note: For carbon steel parts only. For stainless steel or beryllium copper samples contact customer service by phone at 1-800-557-6867 or 
e-mail).

Specific sample requirements:
  Rings under 2" (50.8 mm) have a six piece limit.
  Rings 2"-5" (50.8 mm - 127 mm) have a 2 piece limit.
  Rings over 5" (127 mm) have a lot charge. Contact customer service by phone or
  e-mail.
  Prototype/lot charge samples require a PO. (call or e-mail customer
  service)

*All fields Are Required

        Name:   

   Title:  	   

 Company:
 Address:
         
    City:
   State:
     Zip:

   Phone:       

     Fax:             

   Email:

  What do you manufacture?

  What is your specific ring application?

  What is your anticipated annual volume in retaining

  rings?

  From whom do you currently purchase rings?

  Would you like to receive Rotor Clip literature?

  Which ring would you like to sample and quantity:

  *Not sure which ring to use?  Get assistance in selecting the right ring for your application by 

   referring to our Design Guide.

   Need to see specifications for the ring type you are considering? View our catalog pages:

   Inch			Metric			ANSI Metric		Constant Section

  How would you like us to ship your samples?

  Please provide account number if other than US mail.

  How did you hear about us?

	 I am a current customer

	 Mailing

	 Referral

	 Sales Call

	 Search Engine

	 Thomas Register

	 Trade Magazine (Which one?) 

	 Trade Show (Which one?) 

	 Other (Please specify) 

  Additional comments or special instructions:

© 2001 Rotor Clip Company, Inc.
187 Davidson Avenue Somerset, NJ 08873
Tel.: 732-469-7333 Fax: 732-469-7898
Within The United States Call Toll Free: 1-800-557-6867