NOTE!:  Use your tab key to advance through the fields in the form.  Do not hit enter or return until you are ready to submit the form, thanks.

Please enter your contact information:

Your Name
Your Title
Company Name
Address
Address
City
State or Province
Country
ZIP or Postal Code
E-mail Address
Telephone & Extension
FAX

What kind of proposal do you need from Palamatic USA?:

Budget quote  Firm for purchase  Feasibility (can we do the job?) Response to RFQ (please FAX or email a copy)

Please enter your RFQ, reference number or project name:

When do you need a reply from us?:

Please Select January February March April May June July August September October November December Please Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010                      

What is/are the material(s) you need to dispense?:

Name:
Bulk density:
Particle size:
Flow characteristics:

If more than one material, provide the same details below for each.

Bag support details:

Please Select Place on framework with fork lift I need an I-beam monorail and hoist in this proposal I need a vertical linear tensioner for the bags Other
(use Ctrl+ to select more than one)

Comments:

What is/are the weights of the bag(s)?:

Pounds  Kilograms

What is/are the dimensions of the bag(s):

Inches  Millimeters
Length:
Width: 
Height:

Bulk bag details:

Model number:
Capacity:
Spout length:
Lifting loop length:
Spout diameter:
Number of lifting loops:
Does the bag have a liner: Yes  No

If you have more than one bag to be handled with the same system, we need specifics for the bag material, bag contents and characteristics, weights and dimensions for each bag.  Please enter the details below:

Please provide a brief description your process:       

Discharge details:

Flow control required?:Yes  No

Discharge hopper needed?:Yes No

Loss in weight system needed?: Yes No

Screw conveyor needed?: Yes No

Vibratory hopper required?: Yes No

Bag massage required?: Yes No

Discharge time required?: minutes

Other requirements, please describe:

Options:

Computer interface?:Yes No

Printer?:Yes No

PLC connection?: Yes No

Other?:Yes No

Please provide specifics for any of the above:

Do you need to dispense small bags (100 pounds or smaller) or drums at this same station?:

Yes No

If yes, do you need a waste bag compactor?:

Yes No

Lifting elevations, highest and lowest from the floor to the top of the bag:

Inches  Millimeters
Lowest:
Highest:
Height of support rack above the floor:

Overhead information in the work area?:

Inches  Millimeters
Floor to ceiling height:
Clear overhead height:
Height to lowest obstruction:

Travel distance from pick up point to release point?:

Inches  Millimeters
Travel distance:

Any special electrical requirements?:

None  Explosion proof  Wash down  Outdoors Other

If explosion proof, advise division and class:

Available power supply?:

Voltage:
Phase:
Hz:
Amps:

Available compressed air?

Pressure PSI:
Flow SCFM:

What is the ambient temperature or range of temperatures in the work area?:

Degrees F  Decrees C
Lowest:
Highest:

We need to know if you have any special requirements for our equipment manufacture for your process, such as contact parts or overall construction for wash down, corrosion resistance or sanitation?:

Please Select Painted mild steel 304 stainless contact parts 316 stainless contact parts All 304 stainless All 316 stainless GMP cGMP
(use Ctrl+ to select more than one)

Is the installation in a seismic zone?

Yes  No

If yes, what is the Seismic Zone rating?

None 1 2 3 4 5

Do you need a hoist and monorail for this system?:

Yes  No

If yes, please continue with the Crane System selection.  If you don't need a crane, please check for completeness and send us the form.  Thank you for sending this information.

What kind of crane system do you need for this lifter?:

Free standing jib crane (swing arm)
Overhead mounted monorail
Dispensing frame mounted monorail
Column or wall mounted jib crane
Free standing articulated jib crane (jointed arm)
Free standing bridge crane (X-Y movement)
Overhead suspended bridge crane

We need to know if you have any special requirements for the crane manufacture for your process, such as construction for wash down, corrosion resistance or sanitation?:

Please Select Painted mild steel 304 stainless steel 316 stainless steel GMP cGMP

Please add any information you think we need to know about the crane or any other aspect of the work area or process:

An email or FAX with a plan and elevation layout and your bulk bag sketch or drawing, and/or digital photos will be helpful.

If we need to discuss this application with you, when would be a good time to call?:

Please check here if you want us to email you a copy of the data you submitted from this form.

Please help us prevent form spam.  Type Handling in the password field below.

  Password required and is case sensitive

Thank you!  You are done.  Please click the send request box and we will respond as soon as possible.