Solution Request

Please provide us with information describing your test system integration and/or functional test system requirement on the following form. While not all information is required, the more information you provide, the better we will be able to help. For environmental chamber assistance, please use the Information Request Form.

A Product Test Solutions team member will contact you to discuss your requirement in detail after you submit the information.

Required fields are marked *. Click the calendar () for date inputs.

Personal Information

First Name * :

Last Name * :

Company * :

Title:

Department:

Contact Information

Telephone Number * :

 Ext:
Fax Number:

Email * :

Address

Street Address 1 * :

Street Address 2:

City * :

State * :

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Zip/Postal Code * :

Country * :

Additional detailed information will help us to better understand your needs. Please also consider filling out the form information below.

Additional Information

Application Type

Design Verification
Quality Audit
Production Verification
Life Testing
Burn-In
Functional Test
Parametric Test
Other (Please Describe)

Proposal Type Requested

Budgetary
Intent
Firm Quotation

Schedule

Quotation Due Date:
Equipment Required:
Funding Available:
Anticipate Ordering:

Budget

Estimated Budget for Project: USD

Test System Specifics

Do you expect some form of mechanical fixturing will be required?

Yes No

Will interconnect (wiring) be required to connect the test system to the products under test?

Yes No

Do you have equipment you wish to reuse in this system?

Yes No

Will the equipment need a CE mark

Yes No

Are there special utility concerns?

Yes No

Are there special space concerns?

Yes No

Do you have a preferred software language?

No preference LabVIEW TestStand Visual Basic Other

Product Information

Describe the product to be tested:

Is a test specification available? Yes No
When can we obtain the test specification?

Are schematics available? Yes No
When can we obtain schematics?

Are mechanical drawings of the product available? Yes No
When can we obtain mechanical drawings?

What are the general dimensions of the product?
Height Width Depth in cm

Are products samples available? Yes No
When can we obtain the product samples?

What is the number of contacts or interface points per product?

Is a definition of the pin-out available? Yes No
When can we obtain this pin-out definition?

What are the power requirements for each product to be tested?
Volts Amps

How much heat/power does each product dissipate? Watts

What is the lowest temperature during test? °C

What is the highest temperature during test? °C

At what rate do you wish to change temperature? °C / min

What is the weight of each product? lb kg

What is the number of products to be tested at one time?

Will you need to continuously test the products or can you scan through the products testing one at a time? Continuous Scan

Additional Information

Who is responsible for selecting the test equipment?

How are you testing these products now?

Who has been providing your test equipment?

What would you change on your existing test equipment?

Who else are you looking at to provide this equipment?

What is the criteria for making the buying decision?
Price Lead Time Quality Experience Reputation
Other  Describe:

What are the important factors in the design of the equipment that you would like to see? ( Flexibility, reusability, generic, easy of use, off-the-shelf hardware, off-the-shelf software, etc.)

Who will be involved with this equipment after it is installed?

Other information:

More Information

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