Your browser either does not support JavaScript or it is turned off.
Without Javascript enabled, this form will not function correctly
Volumetric Dispenser
Request for Quote
RFQ Date
Quote Request Date
Customer Information
Customer
Contact Name
Address
E-mail
City
State
[please select]
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Phone #
Fax Number
Same as Bill to
[please select]
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Phone #
City
Address
Customer
Zip
State
Fax #
Zip
Customer Ship to Information
Quotation Priority
Immediate Need
Active Project
Upcoming Project
Budgetary Only
(Purchase within 60 days)
(Purchase within 3-6 months)
(Purchase within 6 - 12 months)
(For future project)
Utilities Information
Power Available
[please select]
N/A
208/60/3
230/60/1
400/50/3
460/60/3
575/50/3
Air Available (PSI)
Hydraulics Available
Product Information
Product Type
Product Rate (lbs/kg hr)
Product Size
Product Weight
Equipment Information
Drum Size
Drive Type
Electrical / Controls
PLC
[please select]
Allen Bradley (OEM Std.)
Siemens
None required
Other
Control Description
*Please note that MSI equipment is designed and built following USDA standards. All on-site and governmental approvals will be the financial responsibility of the customer.
Additional Information
Product Temperature
Product Uniformity
Product Density
Product Grade
[please select]
Yes
No
Room Temp.
Humidity
Gas Available
[please select]
Yes
No
Steam Available
[please select]
Yes
No
Product Viscocity
[please select]
Abrasive
Explosive
Corrosive
Other
N/A
[please select]
Solid
Semi-solid
Liquid
Powder
Other
Dispenser Specifications
Dispenser Type
PD2000
PD3000
Stand Type
Optional Items
Optional Items
Mount Type
[please select]
30" dia x 48" lg (Model TD3048
30" dia x 60" lg (Model TD3060
30" dia x 72" lg (Model TD3072
36" dia x 60" lg (Model TD3660)
36" dia x 96" lg (Model TD3696)
Infeed Height
Discharge Height
OEM Std. (Right Angle)
C-Face Motor/Reducer
Other
Portable w/Casters
Portable w/Casters and Stairs
Infeed Hopper w/Cover
Dump Station Ext.
Hopper Screen
SDC Connection
SDC Valve and Controls
Floor Mount
Core Drill (Floor)
Casters
Gearmotor Type
[please select]
SEW/Eurodrive (CEM Std.)
Nord
Dodge
Other
VFD
[please select]
Yes
No
*Required Fields
Date Issued: 10/10/08 Supersedes: 10/17/07
Powder Dispenser (Rev 5) QSF 7.2-1.2.1.13
Country
Province
Province
Country
Address 2
*
*
*
*
*
*
*
*
*
E-mail
F/C
%
L
W
H
cp
*
*
Agency Approval
AIB (American Institute Baking)
USDA/Dairy*
CE
CSA
Other
Type name here
Per
No
Yes
Customer Specs
WebFormDesigner