Advanced Product Quality Planning

(APQP)

Supplier Workbook for APQP and PPAP

Rev B May 2009

 General Workbook Instructions

 Introduction and Purpose

The purpose of this Workbook is to provide guidelines for ConMet suppliers for a
standardized process of Advanced Product Quality Planning (APQP), including
the specified Production Part Approval Process (PPAP) for new production
products or for process/product changes.

 Scope

This Workbook applies to all ConMet suppliers. Suppliers shall comply with the
specific reporting requirements of this Workbook, Where a requirement or policy
is not specified, suppliers shall comply with the general requirements of the
AIAG APQP manual and the Truck Industry Specific Requirements (AIAG PPAP
manual), unless waived by ConMet Supplier Quality.

 General Information

Suppliers should follow the format in this Workbook in reporting to ConMet their
project progress using APQP and also their PPAP development process. There are
tabs that precede each form that describes what to do.

Each major step in the APQP and PPAP process will require a notification to
ConMet so that the project can be mutually tracked and any problems are
 es for ConMet suppliers for a
lanning (APQP), including
AP) for new production

pliers shall comply with the

here a requirement or policy
ral requirements of the
c Requirements (AIAG PPAP
.

in reporting to ConMet their

velopment process. There are
.

require a notification to
nd any problems are
 PROJECT TRACKER
Date Updated
Part # Next Meeting Date:

Part Name

Team Members: Supplier Project Champion ConMet Project Champion

(Facilitator in Italics)

This Dasboard Status Defined As:

will page
be filled Open issues with no clear path to resolution defined.

out by ConMet Some issue(s); need to correct to move forward

SQA On track; move to the next phase

Color code this block Steps to be done

Project Phase Progress tracker Comments

Project kickoff Color code this block

Supplier Feasibility Color code this block

Manufacturing processes Color code this block

###

Initiate the APQP Checklist Color code this block

PPAP launch Color code this block

PPAP completed - send

Color code this block
electronic file

PPAP samples sent Color code this block

PPAP approved Color code this block

NA-ST-054J
Page 4 of 35 Supplier Quality Assurance
Effective Date: 10/29/04
Initiate the APQP Checklist Color code this block

PPAP launch Color code this block

NA-ST-054J
Page 5 of 35 Supplier Quality Assurance
Effective Date: 10/29/04
 OPEN ISSUES LOG
Date Issued:
Next Meeting Date:
Place:
Product Team:

Team Members: Supplier Team ConMet

(List Champions first) Status Defined As:
Open issues with no clear path to resolution defined.
This form is Some open
Issues have issues but have awith
been addressed planalltorelevant
resolve questions
them.
maintained by answered.
Describe
ConMet SQA Other action

Status legend: Category legend: Metric

Put color code S=Supplier's action required Completed On-Time
in the block CMI=ConMet action required 0 0
% On-Time 0%
###
Issue Description Action To Be Taken Performance Metric
Issue # Part Number Date Status Category Description Action To Be Taken Initiator Person Date Due Percent Date 1-Complete
Opened Responsible Complete Completed On Time

NA-ST-054J
Page 6 of 35 Supplier Quality Assurance
Effective Date: 10/29/04
 Issue Description Action To Be Taken Performance Metric
Issue # Part Number Date Status Category Description Action To Be Taken Initiator Person Date Due Percent Date 1-Complete
Opened Responsible Complete Completed On Time

NA-ST-054J
Page 7 of 35 Supplier Quality Assurance
Effective Date: 10/29/04
 Supplier Team Feasibility Review Instructions

 General Information

The guidelines below will assist in the completion of the Feasibility Review.

 Form your Team

The supplier should assemble the project Team. A project Champion needs to be
identified and the name provide to ConMet SQA.
w Instructions

f the Feasibility Review.

roject Champion needs to be

 TEAM FEASIBILITY COMMITMENT
Customer: #REF! Date:

Part Number: #REF! Part Name: #REF!

Feasibility Considerations
Our product quality planning team has considered the following questions, not intended to be all-inclusive in
performing a feasibility evaluation. The drawings and/or specifications provided have been used as a basis for
analyzing the ability to meet all specified requirements. All "no" answers are supported with attached comments
identifying our concerns and/or proposed changes to enable us to meet the specified requirements.

YES NO CONSIDERATION
Is product adequately defined (application requirements, etc. to enable
feasibility evaluation?
Can Engineering Performance Specifications be met as written?
Can product be manufactured to tolerances specified on drawing?
Can product be manufactured with Cpk's that meet requirements?
Is there adequate capacity to produce product?
Does the design allow the use of efficient material handling techniques?
Can the product be manufactured without incurring any unusual:
- Costs for capital equipment?
- Costs for tooling?
- Alternative manufacturing methods?
Is statistical process control required on the product?
Is statistical process control presently used on similar products?
Where statistical process control is used on similar products:
- Are the processes in control and stable?
- Are Cpk's greater than 1.33?

Conclusion

Feasible Product can be produced as specified with no revisions.

Feasible Changes recommended (see attached).
Not Feasible Design revision required to produce product within the specified requirements.

Sign-Off

Team Champion Team Member/Title/Date

Team Member/Title/Date Team Member/Title/Date

Team Member/Title/Date Team Member/Title/Date

 Supplier APQP Tab Instructions

 General Information

The following are instructions for completing the APQP Checklist tab that
follows these instructions.

The APQP Checklist is designed to identify all the requirements to complete the
supplier’s APQP from Process Design and Development through PPAP
submission to ConMet.

 Checklist

The supplier should notify ConMet when the Manufacturing Processes have been
identified. ConMet SQA will be tracking APQP progress on the Dashboard chart.

Suppliers should complete the plan and finish dates of each relevant checklist
PQP Checklist tab that

equirements to complete the

ment through PPAP

acturing Processes have been

gress on the Dashboard chart.

of each relevant checklist

 Part Number:______________________

Advanced Product Quality Planning Checklist Project description:______________________

Project Leader:______________________
Plan Actual Approved
Comments
Start date Finish date Finish Supplier ConMet
Feasibility review
Can the part be made using existing equipment
Will equipment be added to manufacture given item
Is expertise to operate any new equipment available

Manufacturing processes identified

Development schedule completed.
Include activities on this sheet as well as production
ramp up
Process flow plan completed
Preliminary/prototype control plan completed
Preliminary PFMEA
Control plan updated to address high RPNs

Foundry processes
Initial gating system determined
Solidification models completed and approved
Gaging and inspections determined for production
Work instructions completed for all key operations
Trial casting runs
Material propety/microstructure checks
Gating system approved through process studies
Pour PPAP castings

Degating / Grinding / Paint

Work instructions
Inspection instructions

Machining Processes
Numbered bubble drawings created for inspection
CNC programs
Chucks & fixtures design
Chucks and fixtures build
Trial runs - machine set up - initial capability studies
Capability study / PPAP machining
CMM Program - printout references numbered
features from bubble drawing
Gage design
Gage build
Gage R&R
Work/inspection instructions

Packaging
Pallet and container layouts
Special inspections processes determined
Special labelling determined

PPAP
Finalize PFMEA based on process trial results
Finalize Control plan based on process trial & final
FMEA results
Capability studies for all CCs show Cpk≥1.67 or
corrective action for all 1.0≤Cpk<1.67
Dimension Inspections with no OTOL
X-ray certs (send Xray film to ConMet SQA)
Material property / chemistry / microstructure certs
Approval of PPAP document package by ConMet
Ship PPAP samples and documents
 PROCESS / INSPECTION FLOWCHART

Product Program Issue Date Rev

Supplier Name Part Name
Supplier Location Part Number

Legend:
Operation Transportation Inspection Delay Storage

Operation or Event Description of Evaluation

Operation or Event and Analysis Methods

Page 14 of 35
 POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
Print # #REF! Rev. #REF! (PROCESS FMEA) FMEA Number: #REF!
Item: #REF! Process Responsibility #REF! Prepared by:
Model Year(s)/Vehicle(s) #REF! Key Date Date (Orig.)
Core Team: Date (Rev.)
C O D
Process S l Potential c Current Current e R. Responsibility Action Results
Potential Potential
Function/ e a Causes(s)/ c Process Process t P. Recommended & Target S O D R.
Failure Effect(s)
Require- v s Mechanism(s) u Controls Controls e N. Action(s) Completion Actions e c e P.
Mode of Failure
ments of Failure Prevention Detection Date Taken
s r c v c t N.

Page 15 of 35
 KEY CHARACTERISTICS & GAUGES CHART
Part Number Engineering Change Level Part Name

DIMENSION
NUMBER DESCRIPTION TOLERANCE DESCRIBE THE GAUGE USED

Page 16 of 35
 GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET
VARIABLE DATA RESULTS
Part Number Gage Name Appraiser A
#REF!
Part Name Gage Number Appraiser B
#REF!
Characteristic Specification Gage Type Appraiser C
Lower Upper
Characteristic Classification Trials Parts Appraisers Date Performed

APPRAISER/ PART AVERAGE

TRIAL # 1 2 3 4 5 6 7 8 9 10
1. A 1
2 2
3 3
4 AVE xa=
5 R ra=
6. B 1
7 2
8 3
9 AVE xb=
10 R rb=
11. C 1
12 2
13 3
14 AVE xc=
15 R rc=
16. PART X=
AVERAGE Rp=

17 (ra + rb + rc) / (# OF APPRAISERS) = R=

18 xDIFF = (Max x - Min x) = xDIFF=
19 * UCLR = R x D4 = UCLR=

* D4 =3.27 for 2 trials and 2.58 for 3 trials. UCLR represents the limit of individual R's. Circle those that are
beyond this limit. Identify the cause and correct. Repeat these readings using the same appraiser and unit as originally used or
discard values and re-average and recompute R and the limiting value from the remaining observations.

Notes:
 GAGE REPEATABILITY AND REPRODUCIBILITY DATA SHEET
VARIABLE DATA RESULTS
Part Number Gage Name Appraiser A
#REF!
Part Name Gage Number Appraiser B
#REF!
Characteristic Gage Type Appraiser C

Characteristic Classification Trials Parts Appraisers Date Performed

Measurement Unit Analysis % Total Variation (TV)

Repeatability - Equipment Variation (EV)
EV = R x K1 Trials K1 % EV = 100 (EV/TV)
= 2 0.8865 =
= 3 0.5907 =
Reproducibility - Appraiser Variation (AV)
AV = {(xDIFF x K2)2 - (EV2/nr)}1/2 % AV = 100 (AV/TV)
= =
= =
Appraisers 2 3
n = parts r = trials K2 0.7087 0.5236
Repeatability & Reproducibility (GRR) % GRR = 100 (GRR/TV)
GRR = {(EV2 + AV2)}1/2 Parts K3 =
= 2 0.7087 =
= 3 0.5236
Part Variation (PV) 4 0.4464
PV = RP x K3 5 0.4032 % PV = 100 (PV/TV)
= 6 0.3745 =
= 7 0.3534 =
Total Variation (TV) 8 0.3378
TV = {(GRR2 + PV2)}1/2 9 0.3247 ndc = 1.41(PV/GRR)
= 10 0.3145 =
= =

For information on the theory and constants used in the form see MSA Reference Manual, Third edition.
 CONTROL PLAN
Prototype Pre-Launch Production
Control Plan Number Key Contact/Phone Date (Orig.) Date (Rev.)
#REF! #REF! 1/1/1996 1/1/1996
Part Number/Latest Change Level Core Team Customer Engineering Approval/Date (If Req'd.)
#REF! ###
Part Name/Description Supplier/Plant Approval/Date Customer Quality Approval/Date (If Req'd.)
#REF!
Supplier/Plant Supplier Code Other Approval/Date (If Req'd.) Other Approval/Date (If Req'd.)
#REF! #REF!
PART/ MACHINE, CHARACTERISTICS SPECIA METHODS
PROCESS NAME/
PROCES DEVICE L PRODUCT/PROCESS EVALUATION/ SAMPLE REACTION
OPERATION
S JIG, TOOLS CHAR. SPECIFICATION/ MEASUREMENT CONTROL PLAN
DESCRIPTION NO. PRODUCT PROCESS
NUMBER FOR MFG. CLASS SIZE FREQ. METHOD
TOLERANCE TECHNIQUE

Page 19 of 35
 第 20 页，共 35 页

Supplier Name: Date: Part Wt.

Part Name:
Part# Rev: Qty: Qty OK:
Location CAVITIES (OR SAMPLES)
Dimension or
No. on Specification
drawing 1 2 3 4 5
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
Conclusion检验结论： Inspector检验员: Test date检验日期：
 第 21 页，共 35 页

Supplier Name: Date: Part Wt.

Part Name:
Part# Rev: Qty: Qty OK:
Location CAVITIES (OR SAMPLES)
Dimension or
No. on Specification
drawing 1 2 3 4 5
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
Conclusion检验结论： Inspector检验员: Test date检验日期：
 第 22 页，共 35 页

Supplier Name: Date: Part Wt.

Part Name:
Part# Rev: Qty: Qty OK:
Location CAVITIES (OR SAMPLES)
Dimension or
No. on Specification
drawing 1 2 3 4 5
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70

Conclusion检验结论： Inspector检验员: Test date检验日期：

 Production Part Approval Page of Pages
Material Test Results
ORGANIZATION: PART NUMBER:
SUPPLIER / VENDOR CODE: PART NAME:
MATERIAL SUPPLIER: DESIGN RECORD CHANGE LEVEL:
*CUSTOMER SPECIFIED SUPPLIER / VENDOR CODE: ENGINEERING CHANGE DOCUMENTS:
*If source approval is req'd, include the Supplier (Source) & Customer assigned code. NAME of LABORATORY:
SPECIFICATION / TEST QTY. NOT
MATERIAL SPEC. NO. / REV / DATE SUPPLIER TEST RESULTS (DATA) OK
LIMITS DATE TESTED OK

Blanket statements of conformance are unacceptable for any test results.

SIGNATURE TITLE DATE

Page of Pages
 CONMET PPAP PROCESS

ConMet Buyer
coordinates w/SQA to
define PPAP
requirements on the
P.O. to the Supplier

* Supplier completes the APQP process per the ConMet APQP Workbook
requirements

* Supplier completes all process capability studies and inspections on samples Corrective
action
* Supplier prepares the PPAP package and samples for shipment

* Supplier sends electronic PPAP package to ConMet Supplier Quality

Assurance (SQA)

Supplier’s
electronic PPAP
documents

Option 1: SQA reviews and approves,

or rejects the electronic PPAP
package.

Option 2: SQA is on -site at supplier

Rejected / Resubmit PPAP package
for a Level 5 PPAP review; issues
Interim PSW to allow limited
production shipment.

PPAP electronic package is approved

SQA submits a PPAP

Verification Work Order to
Supplier ships the Plant QA to verify
PPAP samples & requested features (ie., X-
PPAP hard copies ray, layouts,
microstructure, etc.)

Plant QA
completes all
sample
verifications and
notifies SQA

Send signed PSW SQA coordinates

to supplier and SQA approves PPAP & PPAP
post documents on signs PSW; or rejects the resubmission
the network Approved PPAP Rejected requirements with
the supplier

Contact
Procurement/
Buyer for
production
release
Rev 12/12/07
 Guidelines for PPAP Submissions

 ConMet follows the general PPAP requirements specified in the latest AIAG
PPAP Manual for submission, unless waived by ConMet Supplier Quality:

 New part or product

 Correction of a discrepancy on a previously submitted part
 Engineering change to design record, specifications or materials
 New process technology not previously used

 Suppliers are also required to notify ConMet Supplier Quality when any of the
below situations are planned. Use the Product/Process Change Notification form
attached as a tab in this Workbook:

 Use of other construction or materials than was used in approved PPAP

 Production from new or modified tools
 Production from upgrade or rearrangement of existing tooling
 Production from tooling and equipment transferred
 Change of supplier for parts, non-equivalent materials or services
 Product produced after the tooling has been inactive for twelve months or
more
 Product and process changes to components (internally or suppliers)
 Changes in test/inspection method or new inspection technique
 New source of raw materials
 Change in product appearance attributes

 ConMet Supplier Quality will review the process/product change and

coordinate any PPAP requirements with the supplier. Submission Levels –
see ConMet Supplier Quality Standard (www.conmet.com).

 Retention/Submission requirements – see Table 4.2 of Fourth edition AIAG

PPAP manual.

 Suppliers shall comply with Truck Industry Specific Requirements (Page 57 -

AIAG PPAP manual) unless waived by ConMet Supplier Quality.

 ConMet Procurement/Purchasing will issue the PPAP request per the above
submission requirements and maintain a network log of status that includes part
number, vendor, reason, due dates and approval status.

 Suppliers will affix the orange PPAP sample labels on all PPAP sample shipments
(See tab in this Workbook, or download from www.conmet.com
PPAP documents are required to be submitted with the samples.

Note: Suppliers need to 

submit
Suppliers aretonot
Xray film ConMet SQA
to ship prior
any to shipping
material out ofsamples.
specification (paperwork or parts)
ns

cified in the latest AIAG

Met Supplier Quality:

ubmitted part
ations or materials

r Quality when any of the

ss Change Notification form

sed in approved PPAP

sting tooling
ed
erials or services
ive for twelve months or

rnally or suppliers)
tion technique

cess/product change and

upplier. Submission Levels –
w.conmet.com).

of Fourth edition AIAG

Requirements (Page 57 -
plier Quality.

P request per the above

of status that includes part
s.

n all PPAP sample shipments

conmet.com
he samples.

ation (paperwork or parts)

 Generic Hub PPAP Timeline

Week 0 1 2 3 4
Milestones
PO for tooling and PPAP ۩
tool build Week 1-6
Process flowchart Week 1
Control Plan - Preliminary Week 1
gage design & build Week 2-9
Casting/Machining trials Week 7-9
Control Plan - Production Week 8
Work instructions Week 9
Cast PPAP samples Week 10
Machine PPAP Samples Week 11
Inspect PPAP Samples Week 12
capability studies & MSA Week 12
document preparation Week 13
PPAP submission Week 14
5 6 7 8 9 10 11 12 13 14

☺
 PPAP Checklist Instructions

 General Information

The following are instructions for completing the PPAP Checklist tab that follows
these instructions.

The PPAP Checklist is designed to identify all the requirements to complete the
supplier’s PPAP package, including sample preparation.

 Checklist

Suppliers should complete all the relevant Checklist items. Forms for completing
the Process Flow Chart, PFMEA. Control Plans, Key Characteristics/Gauges,
Gage R&R, Dimensional Reports, and Material Test Reports are provided in this
workbook. Suppliers may use their own or their contractor’s X-Ray Radiological
reports, Chemistry reports, and Microstructure reports.

Supplier capability reports can be of the application format of their choice but
must include histograms.

The supplier must notify ConMet when the PPAP Checklist is complete. ConMet
SQA will be tracking APQP progress on the Dashboard chart.

Suppliers should complete the plan and finish dates of each relevant checklist
Checklist
PPAP Checklist
for hub PPAP package
PPAP Project Team Leader: Part # Rev:

OK or N/A Not OK Comments Initial Date

Process Flow chart
FMEA
Control Plan
Work instruction for all key processes
Numbered drawing of casting and of machined
hub with all dimensions, notes specs numbered
5 machined hubs marked for traceability to
inspection report
Inspection report of above 5 hubs
Report has all CC's marked
All items checked including surface finish,
weight and flange hardness
all measurements in spec
1 cast sample with inspection report
ConMet Pre-approval on any OTOLs
(No OTOLs on CC's)
Capability studies including histograms
Action plan included for all Cpk's below 1.67
Gage R&Rs show capable gage system for all
CC's (Range method R&R≤20%)
X-ray check and certs Send Xray film to ConMet SQA prior to shipping PPAP samples
Cast Surface appearance
Microstructure
Chemistry
Tensile test properties
Flange hardness check
Gage checks of all CC's
PSW - use Truck Industry format
Part number and revision noted on all PPAP
documents

Document review by ConMet SQA

PPAP document folder included with samples
shipped to Seacrest
PPAP shipment clearly marked with ConMet
PPAP Label

Comments:
 Truck Industry Part Submission Warrant
Part Name #REF! Customer Part Number #REF! Rev.
If applicable
Tool PO Number Engineering Drawing Change Level #REF! Dated

Additional Engineering Changes Dated

Shown on Drawing Number Purchase Order No. Weight (kg)

Checking Aid Number Engineering Change Level Dated

ORGANIZATION MANUFACTURING INFORMATION SUBMISSION INFORMATION

### ### ### ###

Organization Name and Code Customer Name/Division

###
Street Address Customer Contact

### ### ### ###

City State Zip Application

Note: Does this part contain any restricted or reportable substances? Yes No

Are plastic parts identified with appropriate ISO marking codes? Yes No

REASON FOR SUBMISSION

Initial submission Change to Optional Construction or Material
Engineering Change(s) Sub-Supplier or Material Source Change
Tooling: Transfer, Replacement, Refurbishment, or Additional Change in Part Processing
Correction of Discrepancy Parts produced at Additional Location
Tooling inactive > than 1 year Other - please specify

REQUESTED SUBMISSION LEVEL (Check one)

Level 1 - Warrant only (and for designated appearance items, an Appearance Approval Report) submitted to customer.
Level 2 - Warrant with product samples and limited supporting data submitted to customer.
Level 3 - Warrant with product samples and complete supporting data submitted to customer.
Level 4 - Warrant and other requirements as defined by customer.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
(check)
Level 5 - Warrant with product samples and complete supporting data reviewed at supplier's manufacturing location.

DECLARATION
I affirm that the samples represented by this warrant are representative of our parts and have been made to the applicable customer
drawings and specifications and are made from specified materials on regular production tooling with no operations other than the regular
production process. I also certify that documented evidence of such compliance is on file and available for review.

EXPLANATION/COMMENTS:

List Molds / Cavities / Production Processes

Organization Authorized Signature Date

Print Name Phone No. #REF! Fax No.

Title E-Mail

FOR CUSTOMER USE ONLY

PPAP Warrant Disposition: Approved Rejected
Interim Approval Comment:

Customer Signature Date

Print Name

March THE-1001
2006
 PPAP Qualification Samples
Indicate a ConMet Plant shipping address:
oConsolidated Metco, Inc., 2709 Walkup Avenue, Monroe, NC 28110
oConMet de Mexico, Av.de las Americas #100, Parque Industrial Las Americas, Cienega de Flores, Nuevo Leon,
Mexico C.P. 65550
oConsolidated Metco, Inc. 10448 Highway 212, Clackamas, OR 97015
oConsolidated Metco, Inc. 1821 Highway 19S, Bryson City, NC 28713
oConsolidated Metco, Inc. 171 Great Oak drive, Canton, NC 28716

Deliver to Plant Quality Assurance Dept

[ ] Initial [ ] Resubmission
ConMet ECN___________
Part Number___________________PO Number_____________
Part Name_____________________Qty ___________________
Engineering Change Level________Date___________________
1.Attach this label to the packaging when sending PPAP Submission to the Plant.
2.Enclose the PPAP documentation records with the PPAP sample(s).

Rev 02 March 19, 2009

 PRODUCT / PROCESS CHANGE NOTIFICATION

Complete this form and e-mail to your customer organization whenever customer notification is required by
the PPAP Manual in Table 3.1. Your customer will respond back with an acknowledgement and may
request additional change clarification or PPAP submission requirements.

To: Customer: ### ###

Organization Part Number: Engineering Revision Level: Dated:

Customer Part Number: #REF! Engineering Revision Level: #REF! Dated: #REF!
Purchase Order Number: Safety and/or Government Regulation:

Application: #REF!
ORGANIZATION MANUFACTURING INFORMATION

Name: #REF! Code: #REF!

Street Address: #REF!
City, State, Zip: ### ### ### Change Type (check all that apply)
Dimensional
Customer Plants Affected: Materials
Functional
Design Responsibility: Customer Organization Appearance

Organization Change That May Affect End Item:

Product Change Engineering Drawing Change New or Revised Subcomponent

Expected PPAP Completion / Submission Date:

DETAILED DESCRIPTION OF PRODUCT / PROCESS CHANGE:

Planned Date of Implementation:

DECLARATION:
I hereby certify that representative samples will be manufactured using the revised product and/or process
and verified, where appropriate, for dimensional change, appearance change, physical property change,
functionally for performance and durability. I also certify that documented evidence of such compliance is on
file and available for customer review.

Explanation/Comments:

NAME: TITLE:

BUSINESS PHONE NO: FAX NO:

E-MAIL: DATE:

NOTE: Please submit this notification at least 6 weeks prior to the planned change implementation!

Contact your customer to determine if this form is available in an electronic format or if this form should be faxed.

March THE-1220
2006