To better help us assist you in reaching your goals, please fill out the questionnaire below.  Our technical staff will review the information and evaluate your needs.  We will contact you shortly with our suggestions.

Name:                      
Title:                       
Company Name:  
Division:                
Address1:             
Address2:             
City:         State:                    Zip:
Country:     
Telephone:  Fax:
Email address: 

Primary End Product: 

Do you outsource design and manufacturing services?
Yes              No

The project need is:
Immediate   6 months     12 months or more

Is this project budgeted?
Yes               No                On Approval

If yes, what are the budgeted funds?                        

What is the primary justification for this project?
Labor reduction New technology New process Quality improvement Increased production rate

Type of application:                                                    
Assembly Calibration Fixturing Measurement Testing

Is this function presently being performed?             
Yes               No

If yes it is:                                       
Automated Semi-Automated Manual

Is this a NEW product or process?                           
Yes               No

What production quantity do you expect per year? 

What is the cycle time requirement (units/minute):  
 

This process/equipment is:                                        
New Clone of existing process Modification

Do you have samples for review?                              
Yes                 No

Do you have documentation for review?                   
Yes                 No

Do you have a Process/Equipment specification for this project?                         Yes                 No

Are there special hardware constraints
Special controls             Specific construction methods
Specific hardware         Specific safety requirements
        Other 
       

Are there special software constraints?
Proprietary communication
Specific database requirements
        Other