Saia-Burgess Automotive Actuators, Inc.


We appreciate your interest in Saia-Burgess Automotive Actuators.  So that we may better serve you, please complete the following for detailed information about you and any additional information you may request.

GENERAL INFORMATION & REQUESTS

NAME:
COMPANY:
STREET:
CITY:
STATE:
ZIP:
COUNTRY:
PHONE:
FAX:
E-MAIL:

COMMENTS

YOUR PREFERRED COMMUNICATION METHOD:

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YOU HAVE AN IMMEDIATE NEED FOR THE FOLLOWING
(CHECK ALL THAT APPLY):

COMPANY PROFILE
GENERAL PRODUCT OVERVIEW
CALL FROM ONE OF OUR REPRESENTATIVES
QUOTE ASSISTANCE
APPLICATION / DESIGN ASSISTANCE
INFORMATION ON A SPECIFIC PRODUCT
(SELECT FROM BELOW)
FLATPACK ACTUATOR
PWM MOTOR CONTROL 
PULSE COUNT
SERVO ACTUATOR


SPECIFIC REQUESTS

APPLICATION

AUTOMOTIVE HVAC (PLEASE CHOOSE TYPE)
RELEASE MECHANISM
POSITIONING MECHANISM
SENSING
OTHER AUTOMOTIVE (PLEASE DESCRIBE BELOW)
NON-AUTOMOTIVE (PLEASE DESCRIBE BELOW)

PLATFORM(s)
MODEL YEAR
SOP
ANNUAL VOLUME

REQUIREMENTS

GENERAL DIMENSIONS

x

x

BASE (cm)

HEIGHT (cm)

THICK (cm)
TORQUE

 Ncm
LOADED SPEED
TRAVEL

 degrees
OPER. VOLT.
MOTION TYPE
(ROTARY / LINEAR)
DESIGN FEATURES
(LEVERS/CAMS/BRACKETS)
NOISE

 dBA
DISTANCE

ACTUATOR TYPE BASED UPON CONTROL STRATEGY:

ENVIRONMENTAL CONDITIONS: (CHECK ALL THAT APPLY)

DUST SHOCK
HUMIDITY CHEMICALS
MOISTURE SALT SPRAY
TEMPERATURE VACUUM
ACCELERATION VIBRATION


QUALITY REQUIREMENTS:

PPM (CUSTOMER)
DURABILITY (LIFE)
WARRANTY
QS9000
CUST. APPROVAL
OTHER

OTHER REQUIREMENTS:

PACKAGING
FREIGHT
OTHER