| Sales Contact |
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| Sales Contact E-mail: |
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| Customer Company Name |
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| Customer Contact |
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| Project / Plant (City, State, Province, Country) |
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| Line # |
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| This is for: |
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Order Proposal |
Date (mm/dd/yy) when drawing is required
(This is for scheduling purposes, so please be accurate.) |
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| Machine Type |
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| Rejector |
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| Conveyor Type |
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Takeaway Accumulation Table |
| Outer Side Wall? |
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Yes No |
| This is: |
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Right Hand Left Hand |
| Line Speed - Specify Containers per Minute (BPM) or Meters Per Minute (MPM) |
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| Container Size and Material (PET, Glass, etc.) |
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| Distance from Combiner to Filler |
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| Conveyor Width |
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| If supplying a drawing: |
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| What scale is the drawing? |
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| Is the drawing available in AutoCAD? |
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Yes No |
| If EDS is available: |
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| Check here |
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and fax EDS to 310-257-3137 |
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| Other information / comments: |
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