Request for Quote

Please fill out the following form to Request a Quote for your application. If a section is not appropriate for your application, please feel free to skip it.

Contact Information

Name:		Company:
Email:		Address:
City:		State:	Zip:
Phone:		Fax:

Container Type and Contents

Please describe your container(s) type and contents:

A = Length B = Width C = Height Pitch = Leading edge to leading edge Speed = Packs per minute Product Weight = Lbs or grams

Container 1		A = Length	B = Width	C = Height	Pitch	Speed (PPM)	Product Weight	Accuracy
	Min
	Max
Container 2	Min
	Max

Product Specifications

Preferred Measurement: Inches Millimeters Controlled Spacing Yes No

Weight Lbs Grams Ounces Opened Yes No

Conveyer Specifications

Overall Conveyer Length:		Working Height:
Infeed Line Speed (Feet / Minute):		D1 = Roller Diameter:
Preferred Material:		Working Direction:
Infeed Width:		D2 = Roller Diameter:

Purpose of Checkweigher Inspection for underweight packages Check package quantity Acquisition of production data Feedback to Filling Machine Classification of weights Shipping or receiving Other: Cleaning No Cleaning (IP45) Air Pressure (IP54) Wet Rag (IP55) Water Pressure (IP65) Steam and Water (IP67) Frequency Once a month Once a week Once a day Once a shift Options Production reports Metal Detection Additional speed up belt for product spacing Reject device EZ-Touch Screen Controls Guide rails Portable caster package Draft shield Cubing / Volumetric Measurement System Rejection verification Remote display Signal lamps (over, under, good) Barcode scanner Sortation Other:

Working Environment Temperature: Relative Humidity: Installation Location: Ground Floor 2nd Floor Mezzanine Airflow: Yes No Vibration: Yes No Air Condition: Yes No Existing Connections Power Supply: 115 V 50/60 Hz 230 V 50/60 Hz single 230 V 50/60 Hz 3 phase 480 V 50/60 Hz 3 phase Air Pressure: Interface Options Interface Options: Transmission of weights Statistical protocol Networking Database and tolerance acquisition Interface Devices: RS-232 RS-485 4 - 20 analog Modbus Ethernet DeviceNet

Special Instructions or Comments

Innovative Packaging Solutions
4760 Young Deer Dr.
Cumming, GA 30041
Phone: (770) 888-4512