Conveyors, Inc.  Easy Quote Form

Company: Name: Address: City: State: Zip: County: Phone: Fax: E-Mail:   Type of Item Handled Cartons Wood Boxes Tote Pans Crates Baskets Pallets Drums Rolls of Paper Rolls of Cloth Bags Bundles Other     Give Size & Weight of All Packages to be Handled Size of Package Weight (pounds) Length (inches) Width (inches) Height (inches)   Will There Be Shock Loading? Yes    No If Yes, from what height will the package be dropped?   Rate of Items Per Hour   Total Live Load lbs   Will the conveyor be stopped and started under full load? Yes    No   Maximum number of starts per minute   Number of hours conveyor will be used daily hrs/day.   Will the conveyor be reversible? Yes    No If Yes, how many times per minute? Paint Finish Other than the manufacturer’s standard paint color please supply a paint sample. Special Motors or Drives Brand Voltage Phase Cycles Type: Standard Duty TEFC   Energy Efficient  Dirty Duty Explosion Proof (Provide Class, Group, Div.)         Class   Gp.   Div. Conditions Surrounding the Conveyor Excessive/Abrasive Dust Mositure or Humidity Oil Corrosive Fumes         Operating Temperature         Other         Additional Data Please list any other requirements for this system (if there was something above that needed more explanation, please list here too). Pallet Handling Information:   Does this particular Application Deal with Pallets? Yes - (Continue filling out the rest of the form) No - (Skip the next section and click Submit My Application Data to Conveyors, Inc.)   Describe Bottom of the Product Smooth Flat Bottom Runners Other          If the product has runners, how are they positioned relative to the direction of travel? Parallel Perpendicular   Please Mark the Style of Wood Pallet Used Double-Face Reversible   Double-Face Non-Reversible  4-Way Notched Stringer  4-Way Block  Double-Wing Reversible  Single-Wing Non-Reversible  click here to view example   Sketch I will Fax or Email a Sketch I have no Sketch

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