Robot Module or Integrated Mechatronic Systems Name* Company name:* Location (City, State):* Phone #:* Email:* Who would you like to contact you?* Application Engineer Territory Sales Manager High Tech Distributor Industrial Distributor Company type* End User Manufacturer Distributor (High Tech/ Industrial) Application NeedsDelivery date MM slash DD slash YYYY Purpose Prototype Production Estimated Production Quantity: Order Frequency: One-time order Monthly Annual Project Name Project DescriptionDescribe the details of your project:Schematic drawingPlease provide information such as envelope dimensions, loading diagram, and motion profiles. .pdf, .doc, .xls, .stp file type uploads are acceptable.Accepted file types: pdf, doc, stp, xls, , Max. file size: 64 MB.Number axes of motion:-123+Motion of axis #1 Linear Rotary Motion of axis #1 description: Motion of axis #2 Linear Rotary Motion of axis #2 description: Motion of axis 3 Linear Rotary Motion of axis #3 description: Mechanism envelopeThis refers to the dimensional parameters for the mechanism/ motion. Please include mounting requirements and any special constraints.Payload and distance from mounting surface:Description: Load and off set locationMotion requirements:Include speed and acceleration for each axis or rotational motion Repeatability requirements: Environmental conditions: Motor and driver required? Yes No If yes, do you have any preference? Full testing and assembly required? Yes No Price range: Other:CommentsThis field is for validation purposes and should be left unchanged.