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Project Intake Form
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Project Intake Form
Project Intake Form
Please provide the following project information:
If you are human, leave this field blank.
Name:
*
Title:
*
Phone:
*
Email:
*
Company Name:
*
Parent Co. (if any):
Project Name:
Quote Due Date:
Project Description:
Project Budget:
Co. Fiscal Year:
Please Select One
Jan-Dec
Apr-Mar
Jul-Jun
Oct-Sept
Other
Anticipated PO Release Date:
Expected Install Date:
Installation Location:
Project Status:
New
Existing
*If Existing, please describe current process and issues:
Project Objective:
*
Staffing
Quality
Ergonomics
Safety
Increase Production
Please Explain:
Current Annual Production (if applicable):
Hours per shift:
Parts per hour:
# of shifts:
Days per week:
Annual Production Goal:
Hours per shift:
Parts per hour:
# of shifts:
Days per week:
Product Info:
Product Sample(s) Available:
Yes
No
Part Data and Production Tracking Required:
Yes
No
Dimensional Part Print(s) Available:
Yes
No
Current Automation Equipment:
Semi-automated
Fully-automated
Robots
Please list brands:
Additional Project Information:
How Did You Hear About AEM?
Existing Customer/Machine Tag
Internet Search
Social Media
Industry Listing
Referred
Please list who referred you or Industry Listing site:
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