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Headway Research, Inc.
Headway Research, Inc.

Quotation Information Form

Please complete the following form. Use your browser's back button to return to previous pages once you've submitted your questionnaire.

This information will be used as a means to contact you should it become necessary. Your name will not be added to our mail list without your permission.

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Name:

Title:

Company:

E-mail:

Phone:

Fax:

Address (Line 1):

Address (Line 2):

City:

State/Province:

Zip:

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1. What are your substrate sizes? Please include your measurement units.
Min: Max: Thickness:

2. Are your substrates?
silicon wafers
glass
ceramic
other (please define)

3. Are your substrates...
round
square or rectangular
pieces
other (please define)

4. Do you require a uniform coating on substrates that ARE NOT round?
If yes, you may require Inhibited Dry Spinning - (IDS).
Yes No

5. Do you have vacuum available in your facility?
Yes No

6. Do you want to dispense automatically?
Yes No

7. Are you coating or developing?
Coating Developing

8. How many fluids will you be dispensing?

9. If allowed, what are the fluids you are dispensing?
Fluid:
Viscosity:

10. Are you mounting the spinner in your own bench or
would you like a quotation on a portable stand, cabinet
assembly or plastic cart?
I will install the spinner in my own work bench.
I need a stand, cabinet or cart, please send information.
I will need the spinner mounted in a wheeled lab cart
(a minimum requirement if a dispenser, substrate lifter or Edge Bead Removal Kit is included.)
I will need the spinner mounted in a portable stand. (if applicable)
I will need the spinner mounted in a stand-alone cabinet.

11. Ask any additional questions you may have here.

12. May we add your name to our mailing list?:
Yes, Please do. No, not at this time.

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sales@headres.com

Headway Research, Inc.
3637 Marquis Dr, Ste #102
Garland, Texas 75042 U.S.A.

Phone (972) 272-5431
Fax (972) 272-7817