Galil Motion Control icmworksheet Page 7
Page 7 Galil Motion Control
ORIENTATION:
PIN ASSIGNMENTS
IF PRE-ASSIGNED
5. Special Requirements:
MOUNTING REQUIREMENTS FOR ICM
BOARD-LEVEL OR BOX-LEVEL?
ARE PIN-OUTS PRE-ASSIGNED?
OTHER:
6. Comments/Drawing:
7. Order / Contact Information:
CUSTOMER CONTACT INFO
Name
Company
Address
City
State
Zip
PHONE
FAX
EMAIL
ESTIMATED ANNUAL USAGE
8. Quotation (completed by Galil Motion Control)
ICM part number
Engineering Charge (NRE)
Unit Price
Minimum Order Quantity
Lead Time
Galil Contact
Date
