Controller Requirement Checklist
Name:
Company:
Address:
Address 2:
City, State, Zip:
Country:
Phone:
Alt Phone Number:
E-Mail:

1) Do you currently have a vibration system?
No
Yes (If Yes, describe below):
Shaker Model:
Sine Force Ratings:
Type of Sensor:
Other (Please specify):

2) Do you have a specification (such as a Mil Standard) that you need to run?
No
Yes (If Yes, which one(s)?):
Specification:
Specification 2:

3) Please check the different types of tests you may have to run.
Sine
Random
Kurtosion (Kurtosis Control)
Classical Shock
Field Data Replication (FDR)
Sine-on-Random
Random-on-Random
Shock Response Spectra (SRS)
Other (Please Specify)

4) Which of the following best describes your testing axis orientation(s)?
Sinle Axis (Z) Verical
Single Axis (X or Y) Horizontal
Three Axis (X,Y and Z) One Axis at a time
Three Axis (X,Y and Z) All at the same time
Other (Please Specify)

5) How many input channels do you need included in this system (control channels + monitor channels)?
1-4
8-12
16-32
Other (Please Specify)

6) What is your purchase time frame?
Select a Date or Specify a Time frame: Calendar Icon

7) How did you hear about Vibration Research?
Contact Method:
Other (Please specify):