"*" indicates required fields LinkedInThis field is for validation purposes and should be left unchanged.Please complete the Screw Feeder Evaluation Form below and click the “Submit” button at the bottom of the page when finished. Once we receive your submission, we will respond within 2 business days with a quote. Thank you for choosing Express Assembly Products for your screw feeder needs.Company*Contact Person*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Date Phone*Email* Screw Feeder Preferences Voltage 110V 220V Frequency 50 Hz 60 Hz Operation Use* Manual Automated Screw Type* Flat Round Fillister Cap Round Washer Other Other Screw TypeScrew Magnetic* Yes No Recess Type* Phillips Pozidriv Slotted Hex Torx Other Other Recess TypeScrew SizeDimensionTolerance (+-)d. (mm)*d. + - (mm)D. (mm)*D. + - (mm)H. (mm)*H. + - (mm)L. (mm)*L. + - (mm) Screwdriver InformationNo Torque Requirement No Torque Requirement Torque In-lbs*Precision (+-%)*Speed (Rpm)*Driver Type Air Electric Transducer Trigger Type Lever Start Push to Start Trigger Start Screwdriver Type Inline Pistol Operation Direction Horizontal Downward Upward Specific Angle Operation AngleOperation Environment* Flat Surface Near a wall Inside a hole Other Dimension a*Dimension b*Please provide the drawing Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB, Max. files: 5. Cycle TimeCurrent (pcs/minute)Target (pcs/minute) Please include any additional information you would like us to consider when evaluating your screw feeder assembly job.Additional Information If possible, please upload photos/drawings of your work part, work area and screw. File Upload Drop files here or Select files Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 256 MB, Max. files: 3. Δ
