Application Approval Form

Section 1a - Customer Details

Company Name

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Contact Name

First Last

Email

Section 1b - Dealer Details

Dealer Name

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Contact Name

First Last

Email

Section 2 - Application Details

Type of Application:

Read and Print

Uses a third party device to send a unique Key (record number) to look up a record's information within Compose IQ. Requires an OCR Licence

Location of reader (Must be prior to the Registration Photo Eye)

Verify

Uses a third party device to match the sent data to a component in the list. Requires a Verify Licence

Number of Verify Inputs (4 Max.)

Please enter a value less than or equal to 4.

Verify 1

Verify 2

Verify 3

Verify 4

Non-Buskro Printing Base

The Buskro Print controller will be integrated with equipment not manufactured by Buskro

Equipment Manufacturer

Model Number

Details on Print Head installation location

Please provide pictures or video

Drop files here or

Integration of Buskro Equipment

Integration with third party machine. (Example: Inserter followed by a BK7IBR, Compensating Stacker)

Location

In-feed (Upstream)
Out-feed (Downstream)

In-feed Manufacturer

In-Feed Model

Out-feed Manufacturer

Out-Feed Model

Please indicate what is to be controlled (i.e. Start/Stop)

Master/Slave

Uses 2 Buskro Controllers to communicate together. Used when printing on 2 separate bases (Example: Flip-over)

Third Party Equipment Manufacturer

Model

Other

Please provide a complete description, picture, schematics, or video of the application

Comments

File

Drop files here or

Section 3 - Required Specifications

Please send in samples to determine the correct ink selection

Ink Type

Monet - Solvent Based
Apollo - Water Based
Renoir - UV Based
Cezanne - Solvent Based

Substrate Type

Porous (Standard)
Coated (Aqueous)
Glossy
Plastic

Max. DPI

Customer's Required Operating Speed

Product Dimensions/Material Handling

Maximum Length of Product

Minimum Length of Product

Maximum Width of Product

Minimum Width of Product

Maximum Product Thickness

Total Vertical Print Area Required

Number of Print Heads

Finishing

I.R. Dyer
U.V. Curing

Direction of Travel

Section 4 - Additional Notes, Design Issues, Machine Requirements

Please add any additional notes or requirements