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City:                 State: ------------------------------ Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other             Other:       Zip Code:    

Phone Number:                     Fax Number:    

E-Mail Address:         Date: 

Number of pallets/fixtures      

PCB Number      

Type of pallet/fixture       ----------------------------------------- Wave Solder Pallet Selective Soldering Pallets Masking Pallets Adjustable Pallets Conformal Coating SMD Flex Circuit Carriers Small Form Process Carrier Sky Hook Thermal Profile Carrier   

PCB Length      

PCB Width      

Max PCB Carrier Length      

Max PCB Carrier Width      

Number of PCB cavities or windows      

Overhanging Components       Yes No

PCB Thickness      

Hold down Type Preference (if any)       NO PREFERENCE Half Size Slider Full Size Slider Z-Axis Rotary Rotary Pop-in Jump Clamp Leaf Spring None

PCB Center Support or Component hold down type (if required)       NONE Hinged Bridge/Canopy Aluminum Sky Hook Composite Sky Hook

Your Machine Type       ------------------------ Wave Solder Reflow Oven Screen Printer Other

Manufacturer      

Conveyor Type       Please Select-------------------- "J" Finger "L" Pallet Finger 150 "L" Pallet Finger 200 Belt Drag Chain Pin Chain  

Conveyor Width      

PCB sample available?       Yes No

PCB drawing available? (dxf / iges / dwg / Gerber, ect.)       Yes No

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      forward any DXF or Gerber files to service@stonemountaintool.com

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