Date of Samples Received 

Date of Updates
Customer Information
Company Name
Contact Name
Street Address
City
State
Zip
Telephone Number
Fax Number
E-mail
Type of Machine : ( Check all that apply )

Table-top Robot

Free Standing Robot

Conveyor Type Transfer
X, Y, Z & q Robot Manual Load/unload
Turntable Concept Shuttle System :

Single

Dual

Production Requirements :

Estimated parts per hour How many different part sizes to run
Cycle time per part Will they require a different part nest

Machine duty cycle

1-shift

2-shift

3-shift

Solder wire

Diameter
Flux type
Composition/Alloy
Additional flux added:

Yes

No
Description of Current Process:
What Sort of Rejects Do You See Most (if any) :
Desired Process :
Estimated Price
Estimated Load Time (in weeks)  

 
*****PLEASE PRINT AND FORWARD THE FOLLOWING*****
Soldered Part (one piece)
Unsoldered Parts (min. of 10)
Solder Wire (min. half roll)  Qty.( if necessary)
Additional Comments:

 

INFORMATION REQUEST FORM

For any technical questions or more information, 
contact:

Japan

Singapore USA Amsterdam Italy England France China, Shenzen
 China , Shanghai
 China ,Shenzen Taipei Taiwan Holland, Germany

 

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