Please fill out as much of this questionnaire as you can. The more information that you give to us, the better we will be able to answer your questions and assist you in your application.

All fields with an asterisk (*) are required.

*First Name:

*Last Name:

*Company:

*Address1:

Address2:

*City:

*State/Province:

Country:

*Postal Code:

*Voice Phone:

Fax:

*Email:

URL:

What would you like us to do?

Please have someone contact me

Please send me information on the following:

TLAser122 scanner Triton312 scanner TLAser122s scanner Triton330 scanner TLAser222 scanner Triton331 scanner TLAser203 scanner Triton360 scanner TLAser230 scanner UltraGauge+ TLAser260 scanner BenchLinc TLAser2120 scanner TLAser400 Card TLAser160s scanner Total Vu Software TLAser1120s scanner

Application (please check all that apply). For lobing, please go here.

Nitinol tubing	monofilament
wire/cable extrusion	enameled wire
hose/tubing	cv cable
medical tube	piece-part inspection
optical fiber	tape width
steel/aluminum mill	flat cable
sheet/film thickness	disk head positioning
glass rod/tube	calibration/certification
part profiling	other (please elaborate)

Special requirements (please check all that apply).

multi-axis	multiple scanners
multiple segments in window	mixed scanner makes
flaw detection	high speed/single scan measurement
other (please elaborate)

Scanners in use from other manufacturers (if any).

Job function (please check all that apply).

corporate manager	engineering manager
plant manager	production manager
design engineer	process engineer
quality engineer/qc	production
purchasing/buying	sales/marketing
other (please specify)

Facility (please check all that apply).

design	production
testing	warehouse/storage

Interest.

immediate	1-6 months
6-12 months	no need anticipated
other (please specify)

How did you hear of our site? (check all that apply).

print ad	direct mail
word of mouth	brochure
search tool (please specify below)	trade show

Special requirements, questions or comments not covered in the questionnaire.

Would you like to receive email announcements from LaserLinc?