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General Information
Company name* : Contact name* :
Street address* : Phone number: () -
    FAX number: () -
City, State, Zip* : , , Email:*
Application Information
Proposal Requested: Date Proposal Needed:
Air pressure at install area: Size of line at install area:
Maximum cycles per hour: Shifts per day:
Electrical:
Product(s) to be handled:
Current handling method:

  Weight (lbs) Height Width Length ID OD
Maximum
Minimum

Maximum/minimum reach needed: /
Inches from centerline of manipulator:
Distance to bottom of product at lowest position:
Distance to bottom of product at highest position:
Please indicate where measurement was taken from (floor, platform, etc.):

Clearance Factors
Distance to lowest fixed overhead obstruction that cannot or would not be moved: inches from floor.
Obstruction:
                    

Mounting Preference
Select one:

End Tooling Preference
Select one:
  Other

Special Handling Considerations
Grip area, pressure, temperature, other, describe:

Comments and Sequence of Operation

   
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