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Dealer Information
 
Company: 
Name: 
Address: 
Title: 
City
   
State: 
Phone: 
Fax: 
Email: 
   
 
     

Customer Information
 
Company: 
Name: 
Address: 
Title: 
City
   
State: 
Phone: 
Fax: 
Email: 
   
 
     

Product Information
 
The Product to be manipulated is called

Maximum
Minimum
Weight:
Lbs.
Weight:
Lbs.
Height:
Inches
Height:
Inches
Length:
Inches
Length:
Inches
Width:
Inches
Width:
Inches
Diameter:
Inches
Diameter:
Inches
   
Is this product presently being handled?
No
   
If yes, what is the current method of movement and handling?
   
Step by Step sequence of operation for manipulator will be:
   
Temperature of parts when handled by Manipulator °
   
If multiple parts are to be handled, which of the following would apply?
   
Normally, we expect to handle parts/hour hours/day.
   
Type of attachment preferred:
If other, please explain:


Layout Information
     
Ambient Conditions:  
Deg. F (Normal)
 
Deg. F (Maximum)
  Deg. F (Minimum)  
       
Air:
If Explosive please enter the Classification
If Other please explain:
 
Air Pressure available: P.S.I. at Manipulator location
 
Electrical available: Volts     Phase     Hertz
 
Maximum reach needed: inches from center line of machine
(Keep in mind the manipulator would have a 360-degree rotation)
 
Distance to bottom of product at lowest position: Inches
Distance to bottom of product at highest position: Inches
 
Please indicate where measurement was taken from:
(Floor, Platform, Etc.)
 

Clearance Factors
 
Distance to lowest fixed overhead obstuction which can't or would not be moved: Inches from floor.
    
Obstruction:
   
       

Workspace Restrictions
 
Opening/Door/Framework and other obstacles: (Describe)
   
 

Mounting Preference

  Floor Overhead
 
 
The following information is vital to our understanding of your requirements. Please supply as completely as possible.
Parts Drawing Photos of area and parts to be handled
Machine Drawing Video of area and current process
Layout Drawing    
     
 
Additional Comments:
   
 

General Information
 
Proposal needed by:
Has this project been funded?
How many units will likely be needed:
Expected installation date:
   

I would like to recieve a Strongarm Manipulator proposal based on the above and attached information.

Signature:  
(Type Name)
Date:  
 

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