MPI / MT New Equipment Checklist

Submitted By: Click or tap here to enter text.

Date: Click or tap to enter a date.

Company Information
Company Name: Click or tap here to enter text.

Address: Enter text

City: Enter text State: Enter text Zip: Zip

Country: Click or tap here to enter text.

Contact Name: Click or tap here to enter text.

E-mail Address: Click or tap here to enter text.

Phone Number: Click or tap here to enter text.

Country of Installation: Click or tap here to enter text.

Address of Installation (if different): Click or tap here to enter text.

Project Information
Project Budget: Click or tap here to enter text.

Expected Purchase Date: Click to enter a date.

Expected Delivery Date: Click to enter a date.

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Part Description
Part Description: Click or tap here to enter text.

Manufacturing Process Used: Click or tap here to enter text.

Largest Part Dimensions: (Length) Click or tap here to enter text.

(Width / Dia.) Click or tap here to enter text.

(Height) Click or tap here to enter text.

Maximum Part Weight: Click or tap here to enter text.

Type of Indication Expected to Be Discovered: Click or tap here to enter text.

Expected Run Rate (Parts per Hour): Click or tap here to enter text.

Facility Information
Current Utilities Available:

(Voltage) Click or tap here to enter text. (Amperage) Click or tap here to enter text.

(Phases) Click or tap here to enter text. (Air in psi) Click or tap here to enter text.

Equipment Description
Available square footage for system: Click or tap here to enter text.

Preferred Input Voltage: Click or tap here to enter text.

Maximum Current Output Expected (amps): Click or tap here to enter text.

Current type: Click or tap here to enter text.

Technique Storage: ☐Yes ☐No

Auto-bath: ☐Yes ☐No

Conveyor with Inspection Booth: ☐Yes ☐No

Bath Type: ☐Oil Bath ☐Water Bath

UV Lamps for Inspection: ☐ST700 ☐EV6500 ☐EV6000

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For Office Use Only
Customer Number: Click or tap here to enter text.

Quote Number: Click or tap here to enter text.

Purchase Order Number: Click or tap here to enter text.

Estimated ship date ARO: Click or tap here to enter text.

Pain Points to Address: Click or tap here to enter text.

Industry Segment: Choose an item.

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