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87 Fitchburg Road, PO Box 819, Ayer, MA 01432
Tel 978-772-6033, Fax 978-772-6036, E-mail sales@capacitec.com

Customer Application Inquiry Form

Please provide as much information as possible

Name: Position:
Company: Division:
Address:
City: State: Zip:
Country:

Phone: Extension: Fax:
E-Mail:

Company Product(s):

Type of measurement (select one):
Displacement Displacement Gap Gap Thickness Thickness Density Density Other or not sure Blank

Target of measurement (select all that apply):
Flat Radius/Diameter Edge Slot Hole Protrusion Inclusions Imperfection

Describe your application, providing specific dimensions if possible:

Target material: Intervening material (other than air):

Maximum Range:
Inches Millimeters

Accuracy Required:
Inches Millimeters

Maximum temperature expected:
Deg F Deg C

Cable length to probe(s):
Feet Meters

Frequency required: Hz

Can target be grounded to instrumentation?
Yes No

For gap measurement only. What is the maximum probe thickness allowed?
Inches Millimeters

Describe any other requirements or environmental factors:

How do you currently make this measurement?

Thank you very much for you information! We will evaluate this material and respond shortly.
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