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	Shibuya Hoppmann Corporation 13129 Airpark Drive Suite 120 Elkwood, VA 22718 Phone: (540) 829-2564 Toll Free: 800-368-3582 Fax: (540) 829-1724 Email: sales@ShibuyaHoppmann.com click here to visit: www.shibuya-int.com www.shibuya.co.jp/english/sby/ www.FastTrackFeeders.com

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Company Name:*

Contact Name:*

Title:

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Address:*

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Brief Scope of Work:

Part Description:

Orientation:

Parts Per Minute:

Attach picture or drawing of part(s) (required):

Max. Size: 10000kb Extensions: jpg,gif,jpeg,png,pdf

Prefeeder:

Qty:

Hopper Size:

Optional Items:

Lexan Covers

Casters

Construction:

Feeder:

Qty:

Number of parts per feeder:

Discharge Height:

Optional Items:
(All feeders come standard with lexan covers and interlocks)

Casters

Conveyor:

Type:

Length:

Labeler:

Type:

Number of labels:

Size(s):

Type:

Label Material:

Application Style:

Electrical:

Voltage:

Amps:

Hz:

Nema

Additional Information:

All quotes contingent upon the receipt and review of product. Testing may be required for additional options or for information on Assembly Systems or Shibuya Hoppmann products please contact your local sales representative (click here)

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