Company *
First Name *
Last Name *
Street Address *
City *
State *
Country *
Zip Code *
Title *
Phone Number *
Email *
UIC Sales Engineer (Full Name) *
Tooling Category * ---Custom NozzleCustom FeederCustom Tracks
UIC Machine Model * FuzionGenesisAdvantisGSM 1/2
Number of Beams * ---Single BeamDual BeamQuad Beam
Current Software Version *
Front Head Type * ---FlexJet 02/03FlexJet 07/09LightningInLine 4InLine 7Flex 2High ForceNCC8UFPDispense
Rear Head Type (if applicable) ---FlexJet 02/03FlexJet 07/09LightningInLine 4InLine 7Flex 2High ForceNCC8UFPDispense
Front Camera * Magellan 2.3Magellan .94Magellan 0.55.3 Mil4.0 Mil3.0 Mil2.6 Mil1.0 MilOALOFAOTHWide Field of ViewNarrow Field of View
Rear Camera (if applicable) Magellan 2.3Magellan .94Magellan 0.55.3 Mil4.0 Mil3.0 Mil2.6 Mil1.0 MilOALOFAOTHWide Field of ViewNarrow Field of View
Component Manufacturer *
Component Part Number
Component Packaging * ---TapeTubeTrayBulkN/A
Request Description *
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