Company Name and Contact Name

Email Address

Size and Weight of Product (H,W,L) Load Weight and Total Load + Rack Weight.

Temperatures the Conveyor must accommodate:

Istallation Required? Please also include a requested start date and end date:

Floor/Ceiling Supported? If Yes, include joist centers and which way they run.

Height of Conveyor (Elevation?)

Bottom of Building Steel?

Controls Required?

Process rate and Design Speed:

Operator Interface Required (ie, Panel View)

If applicable, explain interfacing with other machinery:

Sequence of Operation (brief explanation)