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Quotation Request
Quotation Request
Quotation Request form pdf download
Customer Information
Company Name :
Enter Name
Address :
Telephone :
Contact Person :
Date :
Rep :
Fax :
Title :
Container Specifications:
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Container Type (glass, metal, plastic)
Capacity (metric or oz, pint, quart/liter)
Container Height
Container dia. / WxD
Neck finish (O.D.)
Neck Inside dia. (I.D.)
Product Specifications
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Product Name/Type
Product Viscosity (CPS)
Product Foaminess
Product Temperature
Other (corrosive, etc)
Type of Fill Volumetric or level fill
Other Specifications
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Fill Speed
Conveyor Chain (Delrin, S/S)
Conveyor height
Product travel
Voltage/Ph./Hz.
Explosion Proof
Additional Information (Please include sketch if samples are not included):
Type the characters you see in the picture below.