Product Inquiry FormSubmit this form to provide us with more detail about the raw material for your equipment quote. Name * First Name Last Name Company * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email * Best Way To Reach You? Phone Email Industry Application Material to be dispensed Material Description (check all that apply) Sticky Clumpy Segregation Issues Hygroscopic Hazardous Pyrotechnic or Explosive MSDS Sheets Available? Yes No Flowability Scale Salt 1 2 3 4 5 6 7 8 9 10 Talc Particle Size Amount / Weight to be Dispensed Weight Tolerance for each Dispense (+/-) Type of Container to be Filled Weight of Container (Grams) Required Throughput / Dispenses per Minute Any Special Concerns Timeline for Installation ASAP Within the next 6 months Within the next year Success!!Your Product Inquiry Form has been submitted to our sales team for review and follow-up.
