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Personal data
Salutation
Mr
Mrs
Family Name
First Name
Company
Cu.-No.
Department
Street
/No.
/
Post Code
/
City
/
State
Country
Phone
Fax
E-Mail
Fields in
bold type
are obligatory. Please complete these fields.
Anticipated quantity
Project
Electrical data
Number of poles
Voltage
Current intensity
Measuring current
Control current
Main current
Bus system
Max. data transmission rate
BAUD
Electrical connection
Plug connectors
Yes
No
Direct lead connection
(m)
General information
Protection class IP
Field of application
Max. OD / height
Free ID
Current flow direction
Slip ring - contacts
Contacts - slip rings
Number of cycles
Max. acceleration per cycle
Max. rotational speed
Max. steady-state speed
Cyclic duration factor per
day in h
Standards to be applied
Media distributor
Number of media distributors
Media distributors with "X" paths
Number of channels
Pressure
Connection
Air
Water
Hydraulics
Vacuum
Other Media
Remarks / special points of note
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