Quote Request Form

 

 

 

 

Name:

Title:

Company:

Phone:

Address:

Fax:

City/State:

/

Zip:

Country:

Email:

Purchase &/Or Subscription

Requote #

Apply Trade-In Credit (Note S/Ns on next worksheet)

Probability of Sale :

# of Machines over 1000T:

Estimated Close Date:

eDART™ Process Control System

Hardware:

Qty:

Hardware:

Qty:

Hardware Control Option:

Qty:

Software Control Option:

Qty:

Network Viewing SW Kit:

Qty:

*Shuttle Application Worksheet

How many postitions?

 

Do you need more than a total of 24 sensors? Yes

Can sensors be put into the top half of the tool? Yes

Is this a multi-shot application? Yes Is this a co-injection application? Yes

Do the mold halves shuttle back and forth? Yes

Do the mold halves rotate? 180 degrees and back? Yes 360 degrees? Yes

Do you need individual alarms per cavity? Yes Do you need delayed alarms? Yes

Do you need individual control setpoints per mold half? Yes

*Valve Gate Sequencing Worksheet

Number of Valves

Machine/Valve Gate Manufacturer:

Sequential Independent Alternate Include Valve Gate Training? Yes

Is there anything special about this application? If yes, please describe below:

Any trade-ins to be applied to quote, list items with serial numbers here:

Cavity Pressure

Cavity Pressure Sensor Kits:

Qty:

Additional Sensor Kits:

Qty:

Cavity Pressure Sensors:

Qty:

Cavity Pressure Sensors:

Qty:

Cavity Pressure Sensors:

Qty:

Cavity Pressure Adapters:

Qty:

Sensor Cables & Junctions:

Qty:

Quad Temp Modules:

Qty:

Miscellaneous:

Qty:

Miscellaneous:

Qty:

RJG Insight Server:

Server w/ Backup: Server w/out Backup:

Training:

eDART Sys Implementation

 

Additional Items

(Items not included above. Be sure to include description and quantity):

 

Notes

(Specifications, customer information, or sending instructions):

 

Send quote via: Email Fax

Regional Sales Manager:

 

Sales Representative:

 

Inside Sales Initials: