Page 9 - Destaco - Table of Contents
P. 9
Applications Form
Grippers/Slides/Rotates | Product Overview
Company Information:
Company Name:____________________________________________________ Date: __________________________
Address:_____________________________________________________________________________________________
City:____________________________________________________ State___________ Zip_____________________
Phone:___________________________ Fax:________________________ Web:__________________________
Key Contact Information:
Name:________________________________________________________________________________________________
Phone: ( ) _____________ Ext._______ Fax: ( ) _______________ Email: _____________________
What is your time frame to purchase?
Immediate 3-6 Month 6-12 Months Other:______________________________________
What is your expectations on delivery? _____________________ weeks
What is the Quantity Required? ____________________________ pcs.
Specifications:
Air Pressure:_______________ psi Finger Length:______________ in. Part Weight:______________ lbs.
Stroke Required:_________ in. Cycle Time:________ Sec Cycle Rate:_________ cycles/hour
Duty Cycle:________ %
Environment: Dirty Corrosive Clean Room High Temp Other_____________
Description:
Please describe your application. Include a sketch on the next page or attach additional sheets if necessary.
Please provide any photos you have available.
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GR-PRO-9 Dimensions and technical information are subject to change without notice
