I've always used the traditional 3-hole tools and they do the job well. I've had arthritis in my hands for years and it's getting worse. It became painful to do many of the things I took for granted, so I looked for things I could easily work with. I don't know why I never thought of a three hole plug but I'm very happy with it! Easy to use and not noisy. It is said to be able to punch up to 20 sheets of paper at a time. I use card stock and because it is thicker the machine holds 7 or 8 sheets. It's still great value for money and saves my hands from further pain.
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