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* Required
+ See Diagrams Below

* Contact Name
* Company
* Address
* City
* State
* Zipcode
* Phone Number:
Fax
* Email
Estimated 12 Month Purchase Quantity (for quotation purposes)
* Application Orientation
Opening Direction
*+ Dimensions	X1: X2: Y1: Y2:
* Final Opening Angle of Lid/Door (in degrees)	degrees
* Weight of Lid/Door (in lbs.)	lbs.
+ Hinge Location	H1: H2: H3:
CGx (horizontal)
CGy (vertical)
* Quantity of Gas Springs per Lid/Door
Run for Both
* Does Lid/Door have a Hold-Close Latch:

Remarks

Diagrams
Figure 1. Horizontal Orientation
Figure 2. Inclined Orientation
Figure 3. Vertical Orientation

For all other applications, of for additional engineering support, please call us at 1-800-228-1156 or e-mail us at spdeng@asraymond.com.