Accurpress Order Form

ACCELL ORDER FORM 07/2014 DEALER DEALER P/O: ______Sales Rep.______MODEL: Phone: ______

SERIAL: CUSTOMER SHIP TO

______Contact: ______Phone: ______Phone: ______

Customer Voltage: [ ] 460 [ ] Other: ______Color: [ ] Grey/Red Covers [ ] Other: ______

Stroke Increase / includes Open Height Increase: [ ] 4” [ ] 8” Other ______(Specify increase) Open Height Increase only: [ ] 2” [ ] 4” Other ______(Specify increase)

[ ] Throat Depth Increase: from _____ (Specify standard throat depth) to _____ (Specify desired throat depth) Bed Cap Width: ______(Specify width) Horn Extensions: [ ] 24” Left [ ] 24” Right [ ] 24” Both [ ] Special ______(Specify)

Backgauge: [ ] No Backgauge [ ] ETS Control on any of the below backgauges [ ] Vision Supreme – X1, X2 / R1, R2 / Z1, Z2 [ ] Vision Premium X axis Options: [ ] ‘R’ Axis [ ] ‘Z1/Z2’ Axes [ ] Ext. 39” Travel [ ] Other ____ (Specify) [ ] Power X-Prime finger [ ] Manual X-Prime, +/- 1” Adj. Style: ____ Qty: ____ [ ] Additional non-Adj. fingers Style: ____ Qty: ____ [ ] X-Prime in lieu of non-adj. fingers Style: ____ Qty: ____ [ ] Vision Titan Options: [ ] ‘R’ Axis [ ] ‘Z1/Z2’ Axes [ ] Ext. Travel ______(specify length) [ ] Vision Offline Qty:_____ seats [ ] Lease Code Protection [ ] Vision 3D Offline Qty: _____ seats

Ram Clamping System: [ ] Wila NSCL II New Standard Premium [ ] Wila NSCL I New Standard Pro [ ] Wila ACL-811/A [ ] Wilson PowerExpress [ ] Other: ______

Crowning System: [ ] Wila NSCR II [ ] Wila NSCR 1/B2 CNC/Hydraulic clamping [ ] Accurcrown 3.5” CNC/Wila A3 Hyd. [ ] 6” wide [ ] Accurcrown 3.5” CNC/Manual clamp DH [ ] 6” wide [ ] Accurcrown manual crowning [ ] 3.5” wide [ ] 6” wide Bottom Die Holder: [ ] Wila OB I HC-B2 Non Crowning w/Tang [ ] Accurpress DH ______(Specify) [ ] Universal Channel Lock w/Power lock, Unlock & CNC Crowning Specify opening dimensions _____ to _____ [ ] Other ______(Specify)

1 | P a g e Options: [ ] Auto-Transformer to step up to or step down from 460V

[ ] Additional Footswitch Programmable per step & Single or Dual Operation

[ ] Front Support Arms: [ ] 24” Std, Qty: ____ [ ] 36” Std, Qty: ____ [ ] 36” HD, Qty: ____

ACCELL SERIAL NO. ______CONTINUED FROM PAGE 1

[ ] 24” Front Support Fixtures mounted on Linear Rail [ ] 36” HD Front Support Fixtures mounted on Linear Rail

[ ] Machine Groove in Bed included with Die Holder w/Tang

[ ] Machine T-Slot L-R Front of Bed

[ ] Safety Guarding [ ] Lazersafe [ ] ISB Merlin [ ] STI [ ] Fiessler

[ ] Sheet Follower System [ ] One Unit [ ] Two Units [ ] Prep for field install (includes linear rail) [ ] SF Optional Parking [ ] One Unit, [ ] Left side [ ] Right side [ ] Two Units, [ ] Left side [ ] Right side [ ] One left, one right

[ ] Robot Interface Package

[ ] Tandem Interface Package

TOOLING REQUIREMENTS

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SPECIAL REQUESTS

______

______2 | P a g e ______

3 | P a g e