Evaluation Order Form
Distributor:
Sls. Engr:
Phone:
E-Mail:
Customer:
Contact:
Address:
Phone:
City/State/ZIP
E-Mail:
Describe Application
Reason Evaluation Is Needed
Number of Axis Per Year:
1st Production Order Expected:
Evaluation to be completed within
1
2
3
4
5
6
7
8
9
10
11
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13
14
15
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100
days.
Material Requested:
Item
Qty
Part#
Description
1
0150-
2
0150-
3
0150-
4
0150-
5
0150-
6
0150-
7
0150-
8
0150-
9
0150-
10
0150-
LinMot Proposes That Distributor
Purchase at 50% discount (one tiem only discount - no return)
Purchase with 70% credit issued if material is returned in like new condition within 90 days.
Purchase with right to return for full credit within 45 days (customer pays all shipping)
Other:
FAX 262-740-0141