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	1. Part designation/material:

(Input required)

	2. What are the dimensions and weight of the workpiece?

Length  Width  Height  Weight  maximum  mm   mm   mm   kg   minimum  mm   mm   mm   kg

	3. Type of handling:

horizontal vertical 90° Swivel 180° Swivel

	4. Personal information :

Ms.      Mr. Surname: First name:  Street: Postal code: City: Country: Please select... Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegowina Botswana Bouvet Island Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d Ivoire Croatia (local name: Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faeroe Islands Falkland Islands (Malvinas) Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and Mc Donald Islands Honduras HongKong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Dem. People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Dem. Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macadonia, the former republic of Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Newis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Serbia/Montenegro Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Zaire Zambia Zimbabwe State/Province: Company:   Sector: Please select... Automotive - vehicle manufacturersAutomotive (suppliers)Automotive - tooling companiesSheet-metal workingCD-/DVD-ManufacturingCD/DVD machinesChemical industryPrinting/paperElectrotechnologyBeverages industryGlass industryWood/furniture industryWoodworkingPlastics - sheet handlingPlastics - injection mouldingAgricultureFoodstuffsLogisticsMechanical engineeringWood, solid/rawPharmaceuticalsPress manufacturersPress shopsIndustrial-robot manufacturersRobot/system integratorsSolar industrySchools/universitiesMiscellaneousStoneworkingPacking machinesWind power Position: Telephone: Fax: Email:

	5. Comments :

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