General Application Form

Quotation Type
Customer Information
Company Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Name*
First Last
Email*
Phone*

System Quotation Specifications: Part Pick Up
Are There Obstructions Around Part at Pick Up*
If Yes, Specify*
Suggested Area For Attaching Device to Part**
Areas of Part that Should Not be Touched**
Part Orientation at Pick Up**

Operator’s Perspective
Part Elevation at Pick Up**

Dimensions
Provide Necessary Sketches Where * Appears
Drop files here or

Max. file size: 23 MB.
Comments

System Quotation Specifications: Part Set Down
What Part is Being Set Down Into/Onto**
Are There Obstructions Around At Set Down?*
If Yes, Specify*
Part Orientation at Set Down*

Operator’s Perspective
Part Elevation at Set Down**

Dimensions
Provide Necessary Sketches Where * Appears
Drop files here or

Max. file size: 23 MB.
Comments

Handling Device Features
Style of Handling Device*
Type of Controls*
Single or Dual Control*
Motion of Handling Device*
Degree of Rotate / Tilt / Swivel*
Control of Rotate / Tilt / Swivel*
Provide Sketches of Rotation and/or Tilt as Viewed by Operator if Rotate or Tilt Motion is Selected
Drop files here or

Max. file size: 23 MB.
Comments

Additional Requirements
Can Rack or Dunnage be Provided?*
Are Detail Drawings Required? (Extra Charge)*
If Yes, Indicate the Desired CAD Format
Can Part Drawings be Provided?**
Can Tooling Drawings be Provided?**
Can Videos/Photos be Provided of Area?**
Can Floor Plans be Provided?**
Customer Review Required Prior to Shipment?*
Type of Review if Required*
Provide Necessary Sketches Where * Appears
Drop files here or

Max. file size: 23 MB.
If There Is More Than One Pick Up and Set Down Operation Fill Indicate The Additional Information Here

Customer Information