Inquiry form

* Your product(s) to fill

* Temperature of the filled product

*If viscosity value is unknown, is your product more: *If viscosity value is unknown, is your product more: liquid creamy-pasty flowable

Viscosity value if known

The viscosity is about comparable with (for example ketchup, etc.):

* Does your product consist of more than one phase (solid fraction, e.g. fruit pieces, cores; air, foam fraction)? * Does your product consist of more than one phase (solid fraction, e.g. fruit pieces, cores; air, foam fraction)? yes no

If yes, solid fraction in %:

Possibly hardness:

If yes, please describe the different phases:

*Can you ensure that the product remains homogeneous throughout the filling time with respect to temperature and with respect to phase mixing? *Can you ensure that the product remains homogeneous throughout the filling time with respect to temperature and with respect to phase mixing? yes no

Particle size in mm:

*Is your product foaming when being filled? *Is your product foaming when being filled? yes no

Does your product have aggressive ingredients (essential oils, acids, alkalis, solvents, abrasive parts etc.? Does your product have aggressive ingredients (essential oils, acids, alkalis, solvents, abrasive parts etc.? yes no

If yes, please describe:

If yes, strongly or weakly?

Is your product flammable/explosive? Is your product flammable/explosive? yes no

If yes, please describe:

Into what kind of jar are you going to fill your product (bottles, glasses etc.)?

What material are your containers made of (glass/plastic/metal/cardboard etc.)?

Which shape do your containers have (round, angular, oval etc.)?

Which surface do your containers have (even, structured, rippled etc.)?

Which filling amount do your containers have (in g, ml, oz)?

Out of which kind of storage tank do you bottle (please mark)? Out of which kind of storage tank do you bottle (please mark)?CanisterBarrelIBC-ContainerTankOther

Which volume does your storage tank have (liter, kilogram, gal)?

Which amounts do you want to fill (milliliter/liter/kg per hour/day/month)

Which opening-ø do your containers have (in mm/in)?

What accuracy do you need to achieve (in +/- gram/ml/%)?

If technically possible, do you prefer to supply the product: If technically possible, do you prefer to supply the product: Via funnel (max. 14 l) from above Via a hose/pipe using a large storage tank

Do you want to fill with the help of a turntable (automatic supply of the jars)? Do you want to fill with the help of a turntable (automatic supply of the jars)? yes no

Do you wish an initial operation service by one of our technicians? Do you wish an initial operation service by one of our technicians? yes no

o you ask for a maintenance service by one of our techincians according to the service intervals of the machine? o you ask for a maintenance service by one of our techincians according to the service intervals of the machine? yes no

How often do you use your machine? How often do you use your machine?A few times / yearA few times / weekDailyAround the clock

Which cleanser would you use for your new filling machine (name, ingredients)?

* First name

* Name

Company

Additional information:

Street, number

ZIP-code

City

Telephone

Telefax

* e-mail address

Country

Additional information:

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