Exatron Information Request Forms
First Name: (Required)
Last Name: (Required)
Phone: (Required)
Email: (Required)
Fax:
Company:
Department:
Title:

Marking Application:
Please choose all that apply.
Plastic ICs
Metal ICs and/or Lead Frames
Ceramic
Stainless Steel
Other:

Will your marking application require automation?
Please choose only one.
Yes
No
Not Sure

Lasers Currently Owned by your Company:
Please choose only one.
CO2 laser (10 watts or less)
CO2 laser (more than 10 watts)
Flashlamp Nd:YAG - Scanning
Flashlamp Nd:YAG - Stencil
Diode Nd:YAG
Other:

Additional Information or Comments:
Please provide as much detail as possible on any specifics of your application:


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