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Quote Application Form
Contact Name
Company
Address
Phone Number
E-mail Address *
Name of Project
Project Description
Rate of Operation
Parts/Minute
Ft/Min
Number of Parts
Names of Parts
Materials Parts are Made Of
How are Parts Presented?
(rolls, bulk, bandoleer, etc.)
Description of Environment
Sequence of Operations
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Level of Automation
Operator Hand Load
Automatic Part Feeding
Number of Operators/Justification
Customer description (existing automation, start up, cheep and dirty, medical grade, etc…)
Project Urgency
Project Budget
Other Info
(problem areas, goals of project, etc…)
