Evaluation Request Form

V-viz are delighted to offer a free evaluation service for all potential applications. In order to help us complete this in a timely and professional manner it is helpful for us to have as much information about the application as possible before we start work. Therefore please complete the following information so that one of our Engineering team can progress your enquiry without delay.

Your Name:


Company/Organisation:


Job Title:


Address:


Address 2:


City:


County:


Postcode:


Country:


Telephone number:


Email:


Please briefly describe your application:


How many systems do you expect to install?:


What is your anticipated install date?:


If available please provide any of the following pieces of information about your application type(s) to allow us to best evaluate your requirements.

Part description or type:


Part min. width:


Part max. width:


Part min. height:


Part max. height:


Part min. length:


Part max. length:


Inspection mode:
Online Offline Sampling

Production rate (parts/minute):


Line speed (meters/second):


Cycle time (secs):


Is the part moving at the time of inspection?:
Yes    No

Can the lighting be strobed if required?:
Yes    No

Inspection time available (msecs):


How many types of parts:


Number of lines:


Number of systems per line:


Number of cameras/images per system (if known):


Application Type (please check all that apply):

Identification/Traceability
Data Matrix Reading
Data Matrix Verification
OCR (Optical Character Recognition)
Barcode Reading/Verification

Other Inspection
Presence/Absence
Flaw Detection
Counting
OCV (Optical Character Verification)

Gauging
Part location/orientation for robot/machine guidance

I/O (check all that apply)
Digital
Analog

Communications/Networking (check all that apply)
RS-232 Serial
Ethernet
Ethernet/IP
Profibus
Device Net
Other (please define):


If this is a Direct Part Mark traceability application please indicate the following if determined:

Marking method:


Marking vendor:


Would you like to have a marking evaluation completed by V-viz?

Are there any environmental factors we should consider?:
Yes    No

If yes, briefly describe:


Can you provide samples for us to evaluate?:
Yes    No
If yes please complete our sample request form

Do you need them returned?:
Yes    No

May we use images of your parts for training purposes?:
Yes    No

Additonal comments:


Lastly please tell how you heard about V-viz:
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