Contact Info
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Machine Type
Machine Type	Select One Rotary Fillers Fully Automatic Fillers Semi Automatic Fillers Low Profile Semi Automatic Fillers Pressure Overflow Portable Bench Filler Time Gravity Unscrambler & Accumulator Tables Standard & Specialty Conveyors Feeding & Sorting Machines
Nozzle Type	Select One Gravity Pressure Overflow Positive Closure OEM Replacement
Conveyors	Select One Flat Top Curved ( 45° , 90° ) Open Grid

Your Product
Product Name
Viscosity	cps
Flow Rate	gpm
Specific Gravity
Temperature Filled at	°F
	High Foam	Low Foam	Corrosive	Toxic	Explosive

Container
Select One Bottle Pail	Capacity	Height (in.)	Length (in.)	Material

Fill Requirements
Containers/Hour	Containers/Day	Containers/Month

Area Classification
Unclassified	Class	Div	Group

Infeed & Discharge Conveyors
Forktruck Load	Forktruck Unload
Number of containers or pallet loads to be accumulated before filling
Number of containers or pallet loads to be accumulated accumulated after filling

Ancillary Equipment

Capping Labeling Induction Sealing Coding Bulk Unscrambling Drop Pack

Project Timeframe

Pricing Requirements - choose one

Ballpark Price - A one page "not to exceed" price Budget Quote - Something to submit for approval Firm Bid - A detailed proposal to purchase from