A Buyer Questionnaire Form

The Antenen Research "Buyer Questionnaire" Screen

Please take a few minutes to complete this questionnaire. Doing so will help both yourself and Antenen Research more precisely determine an appropriate robotic solution for you.
We do not share the information you provide about yourself with outside parties.

Please complete the "Buyer Questionnaire" form below. Supplying as much information as possible
will enable us to provide an effective, timely response.

* indicates required information

CONTACT INFORMATION

*Your First Name: *Your Last Name

*Company Name:

*Your E-Mail Address:

*Telephone Number with area/country code:		Extension

*How did you hear about Antenen Research? Help

ROBOT INFORMATION

You may find that including an attachment will help us to better understand your needs. You may include up to two attachments; one an Image file and one a Data file.

Image or Drawing File to upload:
jpg/jpeg/gif/png/dwg/mpp/ graphics or drawing files only using this button

Data File to upload:
pdf/doc/txt/xls/zip/rar/htm or html files only using this button

NOTE:
We DO NOT accept these file types: php,phtml,cgi,pl,asp,jsp,c,cfm,shtml,exe,bat,com, or css.
Valid attachment extensions are identified underneath each Browse button.
Each attachment file size can be up to 1 MB.

In what application will the robot be used?   application help

--------------------------------------------

How many pounds will the robot need to lift?   payload help
Lbs.
--------------------------------------------

How far will the robot need to reach?   reach help
inches
--------------------------------------------

How many axes?   axes help

--------------------------------------------

Arm movement type?   arm movement help

--------------------------------------------

Mounting position?   mounting position help

--------------------------------------------

Repeatability/Accuracy requirement?   Repeatability Help
� (mm)
--------------------------------------------
How experienced are you with using industrial robots?   experience help

--------------------------------------------
Are you interested in integration services?   integration help
Yes
No

Are you interested in a warranty? warranty help
Yes
No
--------------------------------------------
Comments:

--------------------------------------------


Go Back	Sitemap	Contact Us	Home