Please complete the following questionnaire to the best of your ability.
CUSTOMER INFORMATION All fields required.
Company Name:
Company Address:
City:
State:
AK AL AR AZ CA CO CT DC DE FL GA HA IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Zip:
Country:
Telephone:
Fax:
Contact Name:
Contact Title:
Email:
Other Contact Names:
Site Location:
(if different)
APPLICATION SPECIFICATIONS Line drawing preferred.
Application Method:
Product:
Fill Temperature:
CONTAINERS AND CLOSURE DESCRIPTION Maximum diameters, wt./vol., height, cross-section, samples and drawings with tolerances required .
Shape and Materials:
Probable Surface Temperature at point of band application:
Probable Surface Condition at point of band application:
Cap Sides:
Container Sizes:
Filler's Rated Max Speed:
Capper's Rated Max Speed:
Shrink Application Type:
Will band mask fill level?
If 'yes', what is the lowest fill level the band will have to cover measured from bottom of container?
PRELIMINARY SHRINK FILM INFORMATION Line drawing preferred.
Lay-Flat (mm):
Thickness (mil):
Cut-Length (mm):
Registered Print:
Random Print:
Horizontal Perf.:
Vertical Perf.:
Pull-Tab:
Other:
Have you received samples of your containers with the shrink bands/labels applied?
If Yes, who furnished these?
In-plant power available for machinery:
Environment:
Other special mechanical/electrical requirements:
Proposed location of machine on line:
Orientation:
What machine will be upstream of the shrinkbander?
How fast will it be running?
Amount of conveyor space between shrinkbander and upstream machine?
Anticipated line space available for shrinkbander, shrink tunnel, up/downstream sensor, detector, etc:
What machine will be downstream from the shrinkbander?
How fast will it be running?
Amount of conveyor space between shrinkbander and downstream machine?
When will the container be labeled?
If labeling will be done before banding, will the bander's timing screws disturb labels?
Are there any special container handling characteristics?
Check the following items that may be a problem on the line:
Do you currently have a system installed for handling the above problems?
If Yes, please explain:
If No, please check the system(s) below that you would like us to include in your quotation:
Is the product flow on your line:
Describe the shutdown process for this line:
(note the sequence of events that occur when the line shuts down; for example, dows the conveyor stop automatically, etc.)
CONVEYOR INFORMATION Drawings of conveyor cross-section preferred.
APP to supply conveyor?
Power requirements:
Minimum speed required:
Maximum speed required:
Conveyor height (top of tabletop chain):
Conveyor width (frame):
Chain material:
Chain width:
Can your conveyor speed be adjusted to be compatible with machine?
If No, what is the minimum speed?
If No, what is the maximum speed?
HEAT TUNNEL INFORMATION
APP to supply heat tunnel?
Type of heat:
Length:
Power:
Mounting brackets:
REQUIRED DELIVERY DATE
Required delivery date?
Comments:
Required items are in color.
