To Request A Quote For Product Converging Conveyors
Please Fill Out Form Accurately

A red * denotes a required field!

Follow Us On:	Copyright ©2011 Vande Berg Scales

CONFIDENTIALITY NOTICE: Any information contained in email correspondence, submitted through quotes, and/or any files transmitted with it through www.vbssys.com may be privileged or confidential and intended solely for the use of the designated recipient(s) of VBS, Inc. and will not be distributed to any third parties, external persons, or companies.

	First Name *

	Last Name *

	Company *

	Address *

	City *

	State *

	Zip *

	Phone *

	Fax *

	Email (we will keep your email completely private) *

	Website *

	Conveyor length *

	Height (floor to top of belt) *

	Width *

	Wash down required?
	Yes No
	Direct food contact? *
	Yes No
	Food Grade Stainless Steel? *
	Yes No
	Aluminum? *
	Yes No
	Type of belting *
	Intralox 800 Open Hinge Flat Top Polypropylene Intralox 800 Open Hinge Flat Top Polyethylene Intralox 800 Open Hinge Aceta Intralox Angle Roller Belt Habasit M5060 Polypropylene Habasit M5060 Polyethylene Habasit M5060 Acetal
	What type of product is being conveyed? *

	Frequency (how many per minute)? *

	Capacity (size and pounds)? *

	How is product entering and exiting conveyor? *

	Do you have drawings? *
	Yes No
	Do you have pictures? *
	Yes No
	Comments *