Sales Inquiry – AIM Machinery

General Information

Name *

First

Last

Title *

Company *

Division or Location *

Email *

Phone *

- (###)

(####)

Address *

Street Address

Address Line 2

City Postal / Zip Code

State / Province / Region Country

Ship to same address

Yes

No

Shipping Address *

Street Address

Address Line 2

City

Postal / Zip Code

State / Province / Region

Country

Equipment Specifications

Title

Brief description of equipment required

Equipment Type

AIM Machinery Designed

Built to your prints

Required travel speeds or cycle times

Operating Environment

Ambient Temperature Range -

For conveying and loading systems, describe the items to be handled

Minimum Dimensions x x

Maximum Dimensions x x

Minimum Weight of Materials or Components

Maximum Weight of Materials or Components

Minimum Temperature of Items

Maximum Temperature of Items

Attach specification document

Utilities and Controls

Electrical Controls

AIM Machinery

Drive

PLC Manufacturer

Customer

Not Required

Hydraulic Power Source and Controls

AIM Machinery

Pump

Directional Valve Manufacturer

Customer

Not Required

Enter component preferences

Commercial Items

Please select the following that apply

Project is approved

Project is budgeted

Project is being considered for budgeting

Price you are seeking at this time

When is our proposal needed?

/ MM

/ DD

YYYY

Is a concept drawing needed with the proposal?

Yes

No

When could a purchase award be expected?

/ MM

/ DD

YYYY

When would equipment delivery be expected?

/ MM

/ DD

YYYY

Will equipment installation occur during a scheduled outage?

Yes

No

Are there other individuals available as either technical or commercial contacts?

Yes

No

If yes, please provide contact information

Additional Contact

Name *

First

Last

Address

Street Address

Address Line 2

City

Postal / Zip Code

State / Province / Region

Country

Phone

- (###)

(####)

Email

+Add another contact +Remove another contact

Another Contact Field

Additional Contact

Name *

First

Last

Address

Street Address

Address Line 2

City

Postal / Zip Code

State / Province / Region

Country

Phone

- (###)

(####)

Email