Order Request – Laser

Please fill out the Laser Order Request form. Once submitted, a Connexus representative will review the order details and then contact you.

Or, if you prefer, you can download the Laser Order Request Form PDF fill out the information and then email it to us.

Customer Information

Customer(Required)

Email(Required)

Phone(Required)

Laser Specifications

Do you have an existing unit? What is the Serial Number on the Unit?

What type of machine will laser be used on / how will it be used?

To be used around water?

Yes

No

To be used outside?

Yes

No

Is there a lot of natural or LED lighting in the facility?

Yes

No

How long of a laser line is needed?

Length:

How high will it be mounted?

Height:

**Using the provided diagrams, please fill out the following details with as much information as possible**

Over Center – Laser line length

Over Center – Laser height

Positive Offset – Laser line length

Positive Offset – Laser height

Positive Offset – Offset from end

Over End – Laser line length

Over End – Laser height

Negative Offset – Laser line length

Negative Offset – Laser height

Negative Offset – Offset from end

Form Consent(Required)

I agree to the Privacy Policy and consent to being contacted by Connexus Industries

CAPTCHA

Note: After clicking the Submit button, please be patient while the form submits.