Your browser either does not support JavaScript or it is turned off.
Without Javascript enabled, this form will not function correctly
Product Dumper
Request for Quote
RFQ Date
Quote Request Date
Customer Information
Customer
Contact Name
Address 1
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
Product Size
Product Weight
Product Viscocity
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
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
Product Dumper (Rev 5) QSF 7.2-1.2.1.18
Equipment Information
Infeed Height
Discharge Height
Tote Size
Product Tote Type
Drive Type:
Helical In-Line Gearmotor
C-Face Motor/Reducer
Other
Fall Cage Frame (E-stops)
Std. E-Stops
Safety Type:
Portable Frame w/ Casters
Floor Mount
Mount Type:
Dumper Specification
Dumper Type
Tote / Bin Dumper
Column Dumper
Floor Level Barrel Dumper
2-Stage Tote Dumper
Country
Province
Province
Country
Address 2
E-mail
*
*
*
*
*
*
*
*
*
Agency Approval
AIB (American Institute Baking)
USDA/Dairy*
CE
CSA
Other
Type name here
Per
No
Yes
Customer Specs
*
*
WebFormDesigner