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Name*
Company Name*
Address*
City*
State*
Zip Code*
Phone Number*
Email Address*
Type of Machine:	Please SelectDTI 2000 Pocket Cutter-Screw InserterDTI 3000 Space Ball InserterDTI 4000 Screw PresenterDTI 5000 Screw FeederDTI 6000 Escutcheon Pin GunDTI 7000 Decorative Brass Nail GunDTI 8000 Glide Nail Gun
Application Included	Yes No
Fastener Included	Yes No
CAD Files Available	Yes No
Type of Fastener:	Please SelectScrewBoltBrass NailGlidePinRivet
Screw Print Available	Yes No
Head Type
Drive Type
Head Dia.
Shank Dia.
Shank Length
Fixed or Captive Washer	Yes No
Washer Type:	Please SelectNoneFlatCupSplit-LockInt. ToothExt. Tooth
Washer Dia.
Type of Finish Select:	Please SelectPlainPaintedPlated
Screwdriver Requirements
Handle:	Please SelectInlinePistol Grip
Drive:	Please SelectDirect DriveClutch
Power:	Please SelectAirAC ElectricDC Electric
Length of Screw Carrying Tube
Current Model
RPM
Tool Mounting:	Please SelectNoneWork ArmBalancerFixtured
Fixtured Systems
Components Only	Yes No
Complete Turnkey System	Yes No
Robot	Yes No
Point-To-Point	Yes No
Number of Spindles
Cycle Time Requirements
Current Cycle Time Parts Per Min.
Desired Cycle Time Parts Per Min.
Current Number of Operators
Feeder Bowl:	Please SelectCast AluminumStainless SteelNylon Coated
Screw Driving and Position
Select Position	Please SelectVertical DownVertical UpHorizontalInclined
Recessed	Yes No
Depth
Contour Surface	Yes No
No Mar or Scratching	Yes No
Drive To Depth	Yes No
Torque Requirements
Torque measurment:	Please Selectin-lbsft-lbsNm
Torque Verification	Yes No
Torque Read-out	Yes No
Application Instructions
Fixtured Part	Yes No
Off Line Subassembly	Yes No
Continuous Moving Line	Yes No
Intermittent Moving Line	Yes No
Delivery Date Required
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