Packaging Application Proposal Request

Contact Information

Name *

Title

Organization

Email Address *

Telephone Number *

Product Information

Product Name *

Bulk Density *

Please specify bulk density units *

lbs./ft.^3g/cm^3kg/L

Average Product Size *

Please specify Average Product Size units *

meshmicroninchesmm

Maximum Product Size *

Please specify Maximum Product Size units *

meshmicroninchesmm

Temperature Range *

Please specify Temperature Range units *

FahrenheitCelcius

Moisture Content *

Handling Characteristics

AbrasiveStickyDustyDamp or WetHygroscopicPacksInterlocksHeat SensitiveOilyToxicExplosiveCorrosiveFood GradeOther

Application Information

Container *

Valve BagOpen Mouth BagBulk BagRigid ContainerDrum / Pail

Rate (number of containers) *

Please specify Rate units *

per minuteper hour

Required Accuracy (+/- lbs.)

Container Size and Weight 1

Container Size and Weight 2

Container Size and Weight 3

Application Requirements

Filler Surge HopperAutomatic Bag PlacerBag SealingCheck WeigherMetal DetectorAuto RejectPalletizerStretch Wrapper

Product Material Contact *

—Please choose an option—Carbon Steel304 Stainless Steel316 Stainless SteelAluminumOther

Product Non Contact *

—Please choose an option—Manufacturer's StandardEpoxy CoatedSteel-It PaintStainless SteelOther

Motor Voltage *

—Please choose an option—460V/3Ph/60Hz230V/3Ph/60Hz230V/1Ph/60Hz110V/1Ph/60HzOther

Electrical Requirements

—Please choose an option—General PurposeExplosion ProofOther

Controller Interface

—Please choose an option—Manual - Through Local KeypadEthernetOther

Please tell us more about your specific application.

Proposal Requirements

Quote Detail Request *

—Please choose an option—Order / MagnitudeBudgetaryFirm

Is this a new application? *

YesReplace Existing UnitRepair or Modify Existing Unit

Estimated Purchase Date

—Please choose an option—Within 30 days1-6 Months6-12 Months>1 year

Estimated Installation Date

—Please choose an option—Within 30 days1-6 Months6-12 Months>1 year

How did you find us?

—Please choose an option—GoogleExisting CustomerWord of Mouth ReferralDirect Mail / NewsletterWebsite LinkPrint AdvertisementSocial MediaOther

Please tell us anything else you would like us to know.