Drawer Magnet Quotation Request

To request a quote, please complete and submit the following form. We will respond as soon as possible. Remember, the more information you can provide, the faster we can reply.

Contact Information

Your Name:
Title:
Company:
Account No.:	(if known)
Mailing Address:
City:	State: Zip Code:
Country:
Phone:
Fax:
E-mail:
Type of Business:
How Did You Find Us?:

Quotation Information

Machine Make:
Model Number:
Serial Number:
Feedscrew Size:
Ounce Capacity:
Make of Hopper:
Hopper Capacity:	(pounds)

Vacuum System
Standard System

Optional Equipment (for Standard System only):
Slide Gate Shut-off
Purge Hopper on Right Hand Side Left Hand Side
Discharge Dump Tube on Rear Other
Tapped Hole for Liquid Dispensing System
Powder Seat Kit
Other

Bottom Flange Dimensions:
Operator Side

Drawer Magnet Dimensions

A:		B:
C:		D:
E:		F:
G:		H:
I:	(bolt size used)
J - Opening:
Round: Square: Rectangular: Front to Back: Side to Side:

Top Flange Dimensions:
Operator Side

Drawer Magnet Dimensions

K:		L:
M:		N:
O:		P:
R:		S:
T:	(thread size used) Threaded Holes Studs Studs will be required if bolt pattern falls on housing body.
V - Opening
Round: Square: Rectangular: Front to Back: Side to Side:

Other Information:

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