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Application Form for Demo Kit

In order to apply for demo kit, please check the appropriate boxes or fill out the questionnaires below and clikc Submit. After we receive your application form, we will get back to you.
Company Name
Contact Person
Address 1
Address 2
Phone / Fax
Email
Website

1. What is your primary industry?
(EX: Aerospace, Aviation, Automobile, and so on)

2. What is your intended application by using our video borescope?
Metal working
Tubing material working
Tube cleaning
Maintenance and inspection
Other


3. In what kind of environment do you plan to use our video borescope?
Indoor
Outdoor
Workplace
Laboratory
Other

4. What kind of object do you mainly inspect by using our video borescope?
a. Shape of object
Cylinder shape
Square hole
Tank shape
Clearance
Other
b. Outline dimensions of the object
Diameter inches mm
Depth inches mm
c. Object material
Shiny metal
Other metals
Resin
Other
d. Condition of the object
Dry
Wet
Gas-filled
Liquid-filled
High-temperature
Dusty
Clogged
Other
e. Situation of the object
Scratch
Contamination
Burr
Void

5. Do you already know which borescopes of us you are more interested in trying?
a. Borescopes

HNL2.9CAM
(0.11" type / Flex)

HNL3.6CAM
(0.14" type / Flex)
HNL4.6CAM
(0.18" type / Flex)
ISG4.6CAM
(0.18" type / FullArticulation)
MRU7CAM
(0.27" type / Flex)
HNL8CAM
(0.31" type/ Flex)
HNL20CAM
(0.79" type/ Flex)
BOB4.6CAM
(0.18" type / Rigid)

b. Monitors
3.5" type
5.6" type
   
C. Accessories

NTSC output

USB output
90 degree sideview mirror tip
       

6. How do you handle these inspections now?

7. Please describe issues with these current inspections by using the video borescope or by your conventional
inspections methods?


8. Do you consider any video borescopes currently?
No Yes Which Brand? Price

9. How soon are you planning to make your decision on video borescope and how many?
Immediately
within a week
within a month
within 3 months
within 6 months
A unit
Under 3 units
Over 5 units
Over 10 units
More

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