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First Name
Last Name
Position
Organization
Phone
Fax
E-Mail Address
Preferred method of our reply to you
Maximum Size Height: Width: Length:
Maximum Mass
Repeatability
Independent Linearity ±%
Mounting Method
Electrical Input Type
Electrical Input Value
Electrical Output
Electrical Connection
Environmental Conditions High Operating Temperature:

Low Operating Temperature:
Corrosive Chemical:
Humidity:
Dust/Debris:
Salt Water / Atmosphere Exposure:
Moisture:
Shock:
Vibration:

Target Unit Price
Estimated Quantity Prototypes: Production:
Additional Requirements
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