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ROBOT APPLICATION QUESTIONNAIRE
FLUID DISPENSING
PLEASE FILL OUT DETAILS
Salesman Name/ Distributor
First Name
Business Email
Last Name
Phone Number
Company
Project Name/Part Name
Select An Option
Bond media on robot
Bonding dispenser stationary, part is on robot
Urgency
Low
Medium
High
Bonding media
Media pumped, or cartridge
Machine vision required? (explain)
Additional Information
Additional Information
Submit
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