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Automated and Manual Dispensing Quotation Request Form

Robot - Meter Mix - Hot Melt
Items marked * are required.
Company & Contact Information
Application Details
Application Description
Material Specification
Meter Mixer Specifications

Below this point is only to be filled out if Meter Mix is chosen above.

Part A Part B
Viscosity *
Specific Gravity *
Mix Ratio (by volume) *
Mix Ratio (by weight) *
Filler Type (if any) *
Supply Container *
Other Properties
Check all that apply
Prospect's Machine Requirements

As much as is Known

Part A Part B
Reservoir Size
Properties
Check all that apply
Additional Machine Controls
Machine Actuation
Valve Mount
Mixer Type