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Company : Name/Function :

Phone : Fax : e-mail address :

Brief Application Description :____________________________________________________________

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□ Maintenance □ New Product □ Evolution of existing product □ competition replacement

□ Robocable F3 □ Robocable F1X □ Robocable F1 □ Robocable F1Gold

Total Length (meters with tolerance) : Annual consumption (meters):

Minimum use Length (meters) : Target price (Euro/m):

Electrical Conductors :

N° of conductors or groups (Pair, Triad,…)	Cross section or components (Hose, Coaxial, POF,…)	Electrical properties (C,L, bus…)	Voltage	Indiv.Shield (Y/N)

Type of conductors : □ Plain copper □ Tinned copper □ Silver-plated copper

General shield : □ YES □ NO

Detailed application : □ Drag chain □ Drag chain length, specify:

□ Speed (m/s):

□ Acceleration (m/s²):

□ Robot □ Which axis, specify:

□ Manual use □ Other, specify:

Specified dimensions :

□ Outer diameter : □ Spiral cable, specify:

□ Flat cable □ Other, specify:

Mechanical requirements :

□ Static cable □ Dynamic cable

Bending radius : □ Static (mm) : □ Dynamic (mm) :

Torsion : □ Torsion angle (°):

□ Applied length (m) :

Physico-chemical requirements :

Working temperature : □ Min (°C) : □ Max (°C) :

Other: □ Oil Resistance, specify: □ Fire Resistance, specify:

□ Abrasion □ Welding sparks

□ Solvents, specify: □ Other, specify:

Equipment : □ Connectors, specify :

Other special requirement / Standards :

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