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EU +33 1 43 39 48 68
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US Headquarters
Capacitec, Inc.
87 Fitchburg Road
P.O. Box 819
Ayer, MA 01432 USA
Phone: 978-772-6033
Fax: 978-772-6036
sales@capacitec.com

European Headquarters
Capacitec Europe
16, rue Séjourné
94044 CRETEIL cedex FRANCE
Phone: 33 1 43 39 48 68
Fax: 33 1 49 80 07 49
eurosales@capacitec.com

Customer Application Inquiry Form

Fill in our Inquiry Form and we'll contact you for a free technical review of your application.

First Name

Last Name

Title

Phone

E-Mail

How did you find us?

Company

Address

City

State

Zipcode

Country

Country

What are the primary products manufactured at your location?

Type of Measurement (select appropriate):

Displacement

Gap

Bore

Parallelism

Please describe your application

Target Shapes (select all that apply):

Flat

Edge

Radius/Diameter

For Radius/Diameter please supply dimension

Target Material

Can target be grounded to instrumentation?

Yes

No

Please advise if there is anything between the target and the sensor besides air (e.g. oil/water/gas):Q

Range (max):

Max Range Units

Range (min):

Min Range Units

Accuracy Required:

Accuracy Units

Frequency Response:

Temperature (max):

Max Temperature Units

Cable Length (max):

Cable Length Units

Describe any other requirements or environmental factors: (magnetic field, radiation, pressure, vacuum etc.)

What technology are you using or considering using today for this application?

How many systems do you require short term?

How many systems do you require Longer term?

What is your timing?

Immediate

3 Months

6 Months or more

US 978.772.6033 EU +33 1 43 39 48 68

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