RH-USA Consultation Engineering Documentation Manufacturing Service Support

 

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My Name*
My Position/Title
Company/Institution*
Mailing Address
City
State/Province
Zip/Postal Code
Country
Phone Number*
My Email Address*
Primary Business

 

Please identify your current business need
(check all that apply):

Contract Manufacturing:
Regulatory Assistance:
Supply Chain Management:
After Market Service:
Logistics:
Information Gathering Only:

 

Please define your product:

 

Please identify your primary technology/ies
(check all that apply)
Laser:
Intense Pulsed Light:
LED:
RF:
Ultrasound:
Imaging:
Other Medical Device:
Other, Non-Medical:
 

 

Please identify your primary market:
Aesthetic:
Opthalmic:
Surgical:
Diagnostic:
Dental:
Patient Monitoring:
Other Market:
 

 

Please identify your device classification:
Class I:
Class II:
Class III:
Not applicable:
 

 

Please identify required/established certifications:
FDA Clearance Required:
FDA Clearance Pending:
FDA Cleared:
(if cleared: please enter the
510K/PMA number, if available)
CE Mark Required:
CE Mark Pending:
CE Mark Established:

 

 

 

Please identify your present need:
Box Build:
Board Level PCBA SMT:
Other trad mfg:

 

 

Please identify your current/anticipated volume:
Current Throughput per quarter volume:
Projected Throughput: Year 1: Q1:
Q2:
Q3:
Q4:
Year 2: Q1:
Q2:
Q3:
Q4:
Year 3: Q1:
Q2:
Q3:
Q4:

Please approximate you current
Bill of Materials (BOM) Cost: $
Please approximate your
standard labor hours per unit: $
 

 

Please identify your warranty expectations:
90 days:
180 days:
365 days:
Other warranty:
 

 

Please identify your materials model:
100% Turnkey (AVL, AML driven):
100% Consigned:
99% Turnkey with minor
consignment requirements:
Other Materials Model:
 

 

Please identify your preferred quote model:
Flat average price per unit:
Fixed Fee pricing:
Time and Materials pricing:
Other quote model:
 

 

Please identify your timeline:
For Quote: 5 days:
10 days:
Other timeline:
For Commencement: 60 days:
90 days:
180 days:
Other commencement:

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