GENERAL APPLICATION QUESTIONNAIRE

    Customer Data

    Company Name (Request)


    Contact Name (Request)


    Phone (Request)


    Email (request)


    Application Details

    Application description


    Application type (mobile, stationary, etc.)


    Vertical shock criteria


    Lateral shock criteria


    Longitudinal shock criteria


    Mounts working temperature range (°C)


    Environmental conditions


    Vibration source

    Weight (Kg)


    Disturbing frequency (Hz)


    Centre of gravity position (X,Y,Z)


    Number of mount positions


    Overall drawing or sketch showing where dampers will be fit is requested

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