Request for Quotation

Please provide any available information in the spaces provided.
* means field is required.

Buyer Information
Company Name:
*Primary Contact:
*Phone:
Fax:
E-Mail:
Website:
Address:
City, ST, Zip:, ,
Country:

Project Information (Briefly describe the application)
Project Information:
End User     Agent/Rep
Active Project     Budgetary Inquiry
Projected Commissioning Date of Project:,

Product #1 Information
Name:
Fill Weight:
Hot    Cold    Ambient    Degrees F     Degrees C

Product #2 Information
Name:
Fill Weight:
Hot    Cold    Ambient    Degrees F     Degrees C

Product #3 Information
Name:
Fill Weight:
Hot    Cold    Ambient    Degrees F     Degrees C

Cap-Lid #1 Information (Production grade samples required for evaluation and testing.)
Diameter:
Width:
Length:
Height:
Flat    Domed    Recessed    Product Filled   

Cap-Lid #2 Information (Production grade samples required for evaluation and testing.)
Diameter:
Width:
Length:
Height:
Flat    Domed    Recessed    Product Filled   

Cap-Lid #3 Information (Production grade samples required for evaluation and testing.)
Diameter:
Width:
Length:
Height:
Flat    Domed    Recessed    Product Filled   

Container #1 Information (Production grade samples required for evaluation and testing.)
Diameter:
Width:
Length:
Height:
Metal    Plastic    Fiber Composite    Straight    Tapered   

Container #2 Information (Production grade samples required for evaluation and testing.)
Diameter:
Width:
Length:
Height:
Metal    Plastic    Fiber Composite    Straight    Tapered   

Container #3 Information (Production grade samples required for evaluation and testing.)
Diameter:
Width:
Length:
Height:
Metal    Plastic    Fiber Composite    Straight    Tapered   

Production Rate Information
1. Containers/Min.:
2. Containers/Min.:
3. Containers/Min.:

Control Information
Incoming Voltage: Volts    Hertz    Phase
PLC Required? Yes      No     Type
Control Voltage volts    AC      DC
Control Panel Type: Pushbutton     Touch Screen     Type
Communication Required? Yes     No     Type


Plant Information
How are you currently running this product(s)?
Manually (How many operators?)
With existing equipment     (Make and Model)
How many hours per day will this equipment run? How many shifts?
How often will you change product diameter? Daily     Weekly     Monthly     Never
How often will you change product height? Daily     Weekly     Monthly     Never
Packaging Environment: Washdown     Caustic Washdown    Dry
Line Height:     Ceiling Height:
Dimensions of access doors to plant: Width:     Height:    
Does the plant have compressed air? Yes     No
Does the plant have a truck docking area? Yes     No
Does the plant have a forklift? Yes     No

Send Proposal To:
Copy:

Send Via:
Fax    Email    Regular Email