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Application for Consideration
Thank you for considering PMD’s products for your research. Please fill out the brief contact
form along with a short description of your project. Recipients will be announced at the first of
each month.

Contact Information
First Name		Last Name
Email		Telephone
Address		City
State		Zip

PMD Products Requested
Qty.	Product Name



I need help choosing the appropriate product. Yes No

Organization Information
Educational or Research Organization		Department(s)
Address		Address 2
City		State Zip

Project Info
What is the official name of the project?
Is the project personal or organizationally sanctioned?	Personal Organization
If applicable, please list the supervising professor
Please describe the project and explain how our products will be used, including the future potential of the design.
If the project has an official website please list the URL

Please note:	By submitting this application you agree to provide PMD with photographs and periodic reports should your project be selected.

Site Map
Performance Motion Devices, Inc.
55 Old Bedford Road | Lincoln, MA 01773 | P: 781.674.9860 F: 781.674.9861 | motion-control@pmdcorp.com