Providing Electronic Solutions
Since 1974

Phone: 864.963.3651
Fax: 864.963.7727

Control/Electrical Equipment Quotation

Company Information
*Company Name:
*Address:
*City:
*State:
*Zip:
Contact Information
*Contact Name:
*Email:
*Phone #:
*Fax #:
Equipment Information - Basics
Part #:
Revision:
Quantity:
Lead Time (weeks):
Process:	Prototype Production
Type:	Complete Unit/Turnkey Subassembly
Power Usage:	Low Power High Power
Engineering Work Required:	Yes No
Equipment Information - Fabrication Required
Fabrication Drawings Provided:	Yes No
Wood:	Yes No
Metal:	Yes No
Metal Type:
Plastic:	Yes No
Plastic Type:
Pneumatic:	Yes No
Hydraulic:	Yes No
Water Systems:	Yes No
Special/Other:
Equipment Information - Electronics Required
Relays:	Yes No
PLC:	Yes No
Computer:	Yes No
A&B Components:	Yes No
Equipment Information - Safety Systems
Emergency Stop:	Yes No
Light curtain:	Yes No
Door Sensors:	Yes No
Hand Sensors:	Yes No
Position Sensors:	Yes No
Quote Information
Preferred Method for Quote:
Comments:

	* denotes required field