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QUES TIONNAIRE








          CONTACT INFORMATION
                                                                                                    A

        Name
        Company
                                                                              E
        Address
 IMTRA COLORS 2016
 Primary Use   City             Secondary Use  State       ZIP
                                                                                 C
        Tel                               Fax
        Email
 Blue Pantone 647  Pantone Cool Gray 7  Pantone Cool Gray 2  Black  Pantone 368  Pantone 629
 96C 54M 5Y 27K  20C 14M 12Y 40K  Owner’s Name 0C 0M 0Y 100K  65C 0M 100Y 0K  36C 0M 9Y 0K  D
          5C 3M 5Y 11K
        Project Name                                                                              B
        Type of Application
                                                                                   Motor Voltage & Location
        Window Type
                                                                                   q
                                                                                      12VDC
                                                                                   q
                                                                                      24VDC
          WA      WB      WC     WD       WE    WF                                 q
                                                                                      Below Window
                                                                                   q
                                                                                      Above Window
                                                                                      External
        NOTE: Straight Line Wiper Systems are available. Please note window height and width in the comment   q
        field below for recommendations.
          WINDOW DIMENSIONS                                                        Switchgear Selection
                                                                                      Electronic Control Panel (Synchronized)
                                            Port/          Starboard/              q
                                     Port  Center  Center   Center  Starboard      q
                                                                                      Electronic Wiper Switch (Synchronized)
                                                                                   q
                                                                                      Individual Switch with Intermittent
         Window Type (see above)
                                                                                   q
                                                                                      Individual Switch without Intermittent
         Window Height (C)                                                         q
                                                                                      No Switchgear Needed
         Width of Glass/Top (A)
                                                                                   Washing System Details
         Width of Glass/Bottom (B)
                                                                                   q
                                                                                      Complete System from Ship’s Supply
         Motor Setback* from Window (D)
                                                                                   q
                                                                                      Complete System from Reservoir
                                                                                      Bulkhead Mounted Jet
         Eye Level (E)                                                             q
                                                                                   q
                                                                                      Arm Mounted Jet
         Bulkhead Thickness
                                                                                   q
                                                                                      No System Required
        *The distance between the inside edge of the windshield frame and the center of the motor shaft
        Please take into account the radius of any corner when measuring window dimensions.
        q
           Please check if wiper motor mounting position is not parallel with windshield. If known, what is the angle
        between them? _______
        Comments:


                      Imtra Corporation, 30 Samuel Barnet Blvd., New Bedford, MA 02745 U.S.A.  Phone: 508.995.7000  Fax: 508.998.5359   E-mail: info@imtra.com


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                                                                                                  508.995.7000
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