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Application Number
Name
(Required)
Company
Telephone Number
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E-Mail
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Address
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City
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State
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State
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Zip
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Purchase Timeline
(Required)
Purchase Timeline
Less than 1 month
1 – 3 months
3 – 6 months
6 – 12 months
More than 12 months
NDA Required
No
Yes
Onsite Visit Requested
No
Yes
NDA Attached?
No
Yes
Files Attached?
No
Yes
Tell us about your project
What criteria do you have for a successful test?
What is your current method of processing today?
(Required)
Why does the current method of processing need change?
(Required)
Desired Completion date
(Required)
MM slash DD slash YYYY
Date Samples sent
(Required)
MM slash DD slash YYYY
Reference sample provided?
No
Yes
Sample Material Type
Sample Description (plate, disks…)
Notes
Tracking Number
Video Desired?
No
Yes
Requested Laser Type?
Requested Laser Type?
C02
Fiber
Fiber MOPA
UV (ns)
UV (ps)
IR (ps)
IR (fs)
GR (ps)
GR (fs)
Unknown
Other
Desired Cycle Time
Cutting Kerf Width (if applicable)
Hole Diameter (if applicable)
Surface Quality Requirement (if applicable)
Other
Upload any design files you will need processed.
Max. file size: 14 MB.
Compatible file types: (PLT recommended) PLT/DXF/SVG/AI/PDF/CDR/PNG/BMP/JPG
Upload any photos of your current results and/or desired results.
Max. file size: 14 MB.
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