Micro Dispensing Quotation Request Form


The following information is required to assist our personnel in the selection
of the best micro dispensing system for your specific application.

 Fields marked with ( ) are required.

Please call us if you have any questions on +44 (0)1295 277731


 YOUR CONTACT INFORMATION
 

 Title  
 Contact name   
 Company
 Address
   
 City
 County / State
 Postal code
 Country
 Phone
 Fax  
 Email
 Website address  
     
 Target location for equipment  


   
BRIEF DESCRIPTION OF YOUR APPLICATION

 
 


 SECTION 1 - MATERIAL SPECIFICATIONS

 

 Material manufacturers name

 Manufacturer contact name

 Contact telephone

 Contact email address


 Product name
 Product code
 Type of product If other, please specify
 Viscosity @ 25C (77F)   If other, please specify units
 Physical description of the material
  Please describe - i.e. like maple syrup, toothpaste etc...
 Processing temperature  C
 Viscosity @ process temperature   If other, please specify units
 Specific gravity of the material g/cm
 What filler type is in the material
 What is the filler content  % by weight
 Is there any filler settlement
 Supply container size If other, please specify  
 Heating required?  If YES, enter Temp  
 Any special heating requirements ?
 Level seeking material ?
 Is the material thixotropic If YES, by how much ?
 Is the material abrasive If YES, how abrasive ?
 Moisture Sensitive If YES, how sensitive ?
 Any reactivity with other materials
 If YES, please explain
 Clean-up solvent needed
 Dispense valve mounting
 Dispense application type

If other, please specify

 Dispense control method If other, please specify


 SECTION 2 - SHOT APPLICATION SPECIFICATIONS

 
 Do you have a SHOT or FILL application - if you do, please complete this section, otherwise go to Section 3
 Please describe the part
 Type of Shot by what method
 Time allowed for dispensing  
 Time between each dispense  
 Time to index to next dispense point  
 Shot volume per dispense   with Tolerance +   %
 Do you have more than 1 shot volume If Yes, what is the range ?
 How often do you switch shot volumes
 Please provide more information
 How many dispense points per part
 Are you dispensing under vacuum If Yes, what vacuum depth      mmHg
 Now proceed to Section 4


 SECTION 3 - BEADING APPLICATION SPECIFICATIONS
  
 Please complete this section for your BEADING application and then proceed to Section 4
 Please describe the part
 Method of applying the bead
 If Robotic, what level of supply
 Bead Dimensions Length   mm    Diameter   mm    Tolerance +   %
 Is Knit-Line precision important If Yes, to what level ?
 Bead dispensing speed required  mm/second  
 Number of dimensions
 Time between each bead  per 
 Time to index to next dispense point  per 


 SECTION 4 - POWER & PNEUMATIC REQUIREMENTS

 
 Electrical Supply  Volts          Phase          Amps 
 Pneumatic Supply  PSI or   Bar     CFM    Treatment  
 

OTHER USEFUL INFORMATION


 


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