Custom Unit Quotation Request

Please fill out this form completely so we may promptly process your request.

Fields marked in red indicate required input fields. We will not share or distribute the information contained herein, and will only contact you at your request. We thank you again for your time and interest in AGI Automation!

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Is this a modified AGI Part?

Yes

No

If yes, please complete this section of the form:

AGI Part Number: Description of modification: Required quantities: 1-5 5-10 10-20 30-50 50-100 100-200 200

If no, please complete this section of the form:

Type of product: Gripper Slide Rotary Actuator Escapement Tool Changer Motion Module Is this to replace a competitor's product? Yes No If yes, please fill out this information: What is the problem with the unit? What is the application? What is the part number? Required Quantities 1-5 5-10 10-20 To send us a drawing, please address e-mail to info@agi-automation.com, and add file as attachment. If no, please fill out this information: What is the working PSI? Describe Payload, Number of Cycles, and Temperature: Special Requirements: Required Quantities: To send us a drawing, please address e-mail to info@agi-automation.com, and add file as attachment.