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Price Quotation Form

Company:

Name:

Title:

Address:

City:

State:

Zip Code:

Telephone:

Fax:

E-Mail:

What Does your Company do?

Quote is for: (check one)

Budgetary Near Term Need Immediate Need

Complete the following for standard products:

Complete the following for:
options, specials, custom units, and turn key systems
(please include units)

Enter the following parameters:

Axis 1	Axis 2	Axis 3	Axis 4
Horizontal Vertical	Horizontal Vertical	Horizontal Vertical	Horizontal Vertical	Horizontal or vertical?
Manual Servo Stepper Motor Ready	Manual Servo Stepper Motor Ready	Manual Servo Stepper Motor Ready	Manual Servo Stepper Motor Ready	Manual, servo, stepper or motor ready?
Travel	Travel	Travel	Travel	Travel
No Yes If yes, enter req.	No Yes If yes, enter req.	No Yes If yes, enter req.	No Yes If yes, enter req.	Is there a maximum height requirement?
No Yes If yes, enter req.	No Yes If yes, enter req.	No Yes If yes, enter req.	No Yes If yes, enter req.	Is there a maximum width requirement?
				Maximum speed?
				Application forces in addition to payload?
				Payload?
No Yes If yes, enter req.	No Yes If yes, enter req.	No Yes If yes, enter req.	No Yes If yes, enter req.	Is there a position repeatability requirement?

Other Requirements:

Describe Application:

Attach a file: (2.5 MB Sending Limit)

Please attach drawing / photos in one of the following file formats:
.pdf, .tif, .gif, .dwg, .dxf, .dwf

GENERIC SLIDES
1049 WILLIAM FLYNN HWY • SUITE 300 • GLENSHAW, PA 15116
PHONE: (412) 492-7272 • FAX: (412) 492-7171