Quote: Robot Application Data Form

ROBOT APPLICATION DATA FORM

Complete form">

ROBOT APPLICATION DATA FORM
Complete form, print out, write in measurements on diagram below, then fax or postal mail to the address below. The form below cannot be sent via the Internet.

CONTACT INFORMATION:

Company Name: Contact:

Date Submitted: Date Required:

Address:

City: Zip:

Phone: Email:

Fax:

PRODUCT INFORMATION:

Press Make: Year & Model: Tonnage:

Part Application Information

Mold:       2 plate       3 plate   Stack Mold

Sprue:    Molten          Formed    No sprue

Runner Type: Edge Gate Sub Gate Hot runner

Parts Remain on: Stationary Side Moving Side

Runner Remains On: Stationary Side Moving Side

Ejector System Hydraulic Mechanical

Mold Open Time:          Cycle Time:            Number of Cavities:

Max Shot Size (HxV):          Ejected Part Temperature:

Mold Open Daylight:

Can Ejectors Be Set To Hold Parts?       Yes       No

Are Parts Ejected Straight Off the Mold? Yes       No

Is Force Required for part Removal?        Yes        No

Top of Stationary Platen for Robot Mounting

Flat Surface: Yes No    Cast Surface? Yes No

Machined Surface: Yes No Machined Bosses? Yes No

Existing Robot Hole Pattern? Yes No Other Platen Obstructions? Yes No

Pre-mounted Adapter Plate? Yes No Mold Drawings Available? Yes No

SPI Robot Interface and Connector Installed? Yes No

Press Electrical specs available? Yes No

Sample Parts and Runner Available? Yes No

Robot Will Drop Parts On: Operator Side       Non-Operator Side

Drop Bar on: Operator Side      Non Operator Side

Platen Thickness Available for Robot Mounting:

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