Customer Information

Company Name:
Date:
Individual Contact:
Title:
Address:
City:
State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississppi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Country:
Postal Code:
Telephone:
Fax:
Email:

System (PC, Power Supply, Camera, etc.)

Model Type:

Please see general specifications table for model features.

RF Manual
RF Motorized
MH–75
MH–100
LD–75
LD–100

Keyboard:    Integrated in PC    Remote

Cable Length (Camera to PC):    5 meters    10 meters 15 meters

Rail Length:
Web Width: inches
Machine Frame to Frame: inches

Monitor:
15" LCD Flat Screen
17" LCD Flat Screen
17" SVGA

Synchronization Sensors:
Proxy Sensor
Encoder
Contrast Sensor

Sensor Cable Length:   5 meters    10 meters 20 meters

Problems or Other Comments: