Pro-Tech Request Forms(V3.1)

Request for Quote

Please fill out the following as completely as possible and then submit.

I. Environmental: (check one or all that apply)

  1. Dirt, Dust, Air-Borne Particulants
  2. Dripping and/or Splashing Liquids
  3. Hose Directed Liquids
  4. Corrosive Agents
  5. Excessive Shock/Vibration
  6. Hazardous Environment(please specify)
      Class
      Division
      Groups
  7. NEMA Rating (if known):

II. Display Type:

  • Display Size (Pro-Tech supplied):
    15"
    17"
    20"

    Resolution Choices:
  • Also, with Flat Panel based system do you want provisions to:
    Remote the PC into a safe area
    Distance:
    Place the PC within the Workstation
    Industrial SlimPC within the WorkStation

III. Operator Interface (check all that apply)

  1. Membrane "Soft-Touch" Keyboard with integrated touchmouse
  2. Membrane "Soft-Touch" Keyboard with integrated trackball
  3. No Keyboard/Pointing Device required
    Touch Requirements:
  1. Touchscreen NOT Required
  2. Touchscreen Required
  3. Other
    (describe):

IV. Mounting Preference

  1. Table/Desk Top
  2. Pedestal Mount - fixed (most common)
  3. PanelMount - into wall/enclosure
  4. Wall Mount - fixed to wall
  5. Overhead Mount
  6. Other
    (describe):

 V. Temperature (if known)

  1. Maximum Ambient Temp:
  2. Minimum Ambient Temp:
  3. Humidity (high, moderate or low):
  4. Operating Temp Range of Computer Equip (if known):

 VI. Stuff we would like to know (but do not require)

  1. Primary Software to be run on this system:
  2. Have you used Pro-Tech products in the past? Yes No
  3. How did you find us?
  4. So... was this website useful? (10 is best)
    1. Ease of use
    2. Technical content
    3. Good Graphics/Photos
    4. Compared to competitive websites
    5. Overall assessment

VII. Requirements

  1. Quantity:
  2. Date quote is needed:
  3. Date workstations are needed:
  4. Customer Type:
  5. Number of literature packets to be mailed:
  6. Preferred method of response:
  7. Other:

General Information *=required

*Company
*First Name
*Last Name
Address
City
State
Zip
Country
(if not U.S.)
Phone # Fax #
*E-mail
Website