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Contact Information Date (mm/dd/yyyy) 09/03/2010 Contact First Name * Contact Last Name * E-mail Address * Telephone * Fax Company Address 1 * Address 2 City * State or Province * Zip Code * Country * How did you hear about us? * (choose one)Web SearchCustomer ReferralTrade PublicationOther Receive e-mail newsletters? Yes    No Preferred method of receiving quote: E-Mail    Fax     Postal Mail

Tanks Agitation or No Agitation Storage or Processing Vertical or Horizontal Jacketed or Insulated or Single Shell Type of Heating or Cooling Media: Ammonia Freon Chilled Water Steam Glycol Interior Coil Hot Water Gallons

Cleaning & CIP Equipment Vessel Cleaning or Pipe Cleaning Cleaning in Place Cleaning Out of Place

Homogenizers Homogenizing or High Pressure Pump Type your pump application, product, gallons or pounds per hour, and pressure requirements below in Product Specification box.

Fillers Light Weight Plastic Cartons Gable Top Cartons / Glass What Size Cartons? Gallons 1/2 Gallons Quarts Pints 1/2 Pints Type of Cap: Screw 38mm Swapsize Cap

Ice Cream Equipment Ingredient Feeder Continuous Freeze Batch Freezer

Processors Mixing or Pasteurizing Float Bottom Dish Bottom or Cone Bottom Steam or Water Jacket Pressure Wall or Atmospheric Wide Bottom Sweep or Scraper Wide Bottom and Side Sweep

Positive & Centrifugal Pumps Fluid Transfer or Feeding Machinery Type head in feet, PSI, GPM, and product specs below.

Washers Bottles Cases How many per minute? 0-10 11-20 21-40

Cheese Equipment Cheese Vats Vapor Film Heating Cheese Press

Separators Tri-Process Clarifying Standardizing What type of product is being used for this equipment? Product Specifications if available: (i.e. Specific Gravity Viscosity)

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