Automation & Controls

Contact Name *

First and Last Name

Company Name

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Phone

Email *

Project Information

Type of Project

Panel Purpose

Will there be need to communicate with another system?

If so, what communication protocol is needed?

Number of Discrete Inputs

Number of Discrete Outputs

Number of Analog Inputs

Number of Analog Outputs

Number of Temperature Inputs

Is an HMI needed?

HMI Screen Info

Screen Name 1

Description 1

Screen Name 2

Description 2

Screen Name 3

Description 3

Screen Name 4

Description 4

Screen Name 5

Description 5

Type of Incoming Power

Panel Environment

Max Ambient Temperature

Min Ambient Temperature

Nema Rating Required

Is UL 508A Required?

Are there space restrictions?

Additional Info for Motor Starter/VFD Panel

Motor #1

Size #1

Motor #2

Size #2

Motor #3

Size #3

Motor #4

Size #4

Motor #5

Size #5

Number of Panels

Type of Operation

Type of Disconnect

Short Circuit Rating

Additional Notes

Attach File

Click or drag a file to this area to upload.

Attached file needs to be zipped (.zip)

Automation & Controls

Project Information

HMI Screen Info

Additional Info for Motor Starter/VFD Panel

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