Application Request Form

1. Customer Information
Company Name:*    
Department:
Contact Name:*
Address:*
Telephone:*
Fax:
E-mail:*
2. Application Type
CAD Compare Reverse Engineering
Other Specify Other Application:
3. Application Segment
Plastic Injection Molding Mold and Die Medical
Stamping Machining Toys
Turbine Blades Jewlery
Other Specify Other Segment:
4. Geometry - Shape
Free Form Prismatic Part
5. Material
Plastic Metal
Other Specify Other Material:
6. Surface Finish
Smooth Rough
Surface Roughness (micron):
7. Size - Dimensions (mm)

Diameter

width

Depth

Length

Height

Weight (gr.)
8. Measuring Requirements

Accuracy (micron)

Maximum Scanning Time (sec)
9. Additional Specification