Distr. / Agent:     Customer: *   Contact: *   Address: *   City: *   State: *   Zip Code: *   Phone:     Fax:     E-Mail: * Required fields for form submittal.  Product Title / Description: Qty / Year:     Unit Price:  Customer Product or Process:  Response Requirements Immediate Complaint On Going Competitor Planned   Time Specific  --  Time:    Date:  Market - As described by customer (select only one) Mobile Machine Tool Industrial Automation Automotive Process Control Test Equipment Aerospace Marine Agriculture Military / Defense Other,  Motion Analysis: Distance: inches of travel revolutions Move Time: seconds   Cycle Rate: Hz Accuracy: inches arc seconds Repeatability: inches arc seconds Linearity: % of full range Duty Cycle: on time off time Applied Loads: lbs    torque in-lbs Load Type: Resistive   Overrunning   Inertial   Static  Operating Function (select all that apply) Directional / Position Velocity / Flow Force / Pressure  Program / Instruction: Manual Sequential Simultaneous Analog / Proportional  Motion Profile (select all that apply) Step Function    Ramp (Accel/Decel)    Operator Defined  Accuracy Requirements Incremental:   Linearity: %   Repeatability: %  Additional Comments: --