To compete a request for a custom product, please fill out and submit the following form. (
blue
denotes required fields)
Name
Title
Company
SIC#
Business Type
Sensor Manufacturer
OEM
End User
Distributor
System Integrator
Other
Telephone
ext.
Fax
Email
Confirm Email
Type of sensor/switch
to be used with
Photoelectric
Inductive
Capacitive
Ultra Sonic
Limit
Encoder
Transducer
Safety
Brand
Part number
Description and/or
background
(explain problem(s),
required feature(s),
environment, etc.)
Desired material(s)
of construction:
Would you like us to provide a quote for a sample?
Yes
No
There is a standard 2 to 3 week evaluation and processing time for
all CPRs. To help us better serve you, please estimate the following:
Conceptual solution(s) needed by:
(Date must be in mm/dd/yyyy format.)
Targeted Implementation:
(Date must be in mm/dd/yyyy format.)
Upload sketch of application:
optional
Custom Supplied Material (CSM)
Are you supplying SoftNoze sample parts, drawings, etc.?
Yes
No
Quoting Data
Quantity Required
One time order
Repeat requirements;
estimated annual usage:
Is project budgeted?
Yes
No
Unsure
Target Unit Price
(optional):
$