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Please fill out the following Questionnaire so we may serve you better.

Contact Information:
Name:     Telephone:  
Title:     FAX:  
Company:     E-mail:  
Complete Address
(include country):		      
 
Please tell us about the part you are interested in balancing:
Part Type:   Part Weight:   Balance Tolerance w/units:
   
Unbalance Type:   Correction Method:   Production Rate (parts/hr):
   
Part Length:   Part Diameter:   Bore diameter:
   
Shaft Diameter:   Operation Speed (RPM):    
     
 
How many balancers does your company currently have?
Of those, how many are:
Manual:   Semi Automatic:   Automatic:
   
Manual Brand:   Semi Automatic Brand:   Automatic Brand:
   
 
Does your company use:
Gauging Equipment   If so, what brand?
Crack Detection Equipment   If so, what brand?
Vibration Instruments   If so, what brand?
 
How soon will you need new equipment?
1-3 months   Next year
3-6 months   No current need
6-12 months      
 
I am interested in the following products/services: (check all that apply)
Horizontal Cradles (H)   Armature and Motor Assembly Balancers
Vertical Rotators (VR)   Brake & Brake Drum Equipment
Vertical Non-Rotators (VNR)   Tire & Wheel Process Equipment
Torque Converters   Gauging - Stand Alone or Combination
Tool Holder Balancers   Crack Detection - Stand Alone or Combination
Bal Pac 1200   Custom Equipment
Commercial Balancing Services   Computer Retrofits/Rebuilds
Balancing Seminars   NVH
 
Please type your comments and questions in the space below:
Balance Technology Inc  |  7035 Jomar Drive  | Whitmore Lake, Michigan 48189  |  ph: (734) 769-2100
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