Request for Cooling Application Quotation

Company name:

Address:

Contact:
Title:
Phone:
Fax:

Please fill out a sheet for each conveyor as specifically as possible. Please use ( / ) for "no preference"

Unit # Requested delivery date:

Unit Description (to appear on all documents):

Container Size: L: inches W: inches H: inches

Container Material:

Aluminum Stainless Steel Mild Steel Plastic Other

Container Weight:

Puck Size: L: inches W: inches H: inches

Puck Material:

Aluminum Stainless Steel Mild Steel Plastic Other

Puck Weight:

Fill Rate: PPM

Fill Weight:

Fill Temp:

Fill Latent Heat of Fusion (if any):

Target Temp:

Room Temp:

Time to Target Temp in Room Temp:

Lowest Temp Product can withstand:

Comments: