Quote For Conveyor Scales |WeighMore™|Vande Berg Scales|712 722 1181

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	First Name *

	Last Name *

	Company *

	Address *

	City *

	State *

	Zip *

	Phone *

	Fax *

	Email (we will keep your email completely private) *

	WebSite *

	Wash down *
	Yes No
	Direct food contact *
	Yes No
	Describe what scale is being used for *

	How is product being presented to scale? *

	Are Multiple Products being fed Simultaneously? *
	Yes No
	What type of product is being weighed? *
	Ready to eat direct contact frozen fresh packaged boxed
	What needs to happen to the product after being weighed? *

	What are the specifications for the product to be weighed
	Width
	Minimum *

	Maximum *

	Length
	Minimum *

	Maximum *

	Height
	Minimum *

	Maximum *

	Weight
	Minimum *

	Maximum *

	Pieces per minute
	Minimum *

	Maximum *

	Scale specifications
	Are you requesting the conveyor scale be: *
	Aluminum non food grade Stainless steel food grade
	Capacity (2-20lb, ... 40-200lb,... etc) *

	Scale dimensions in inches
	6x12 6x20 12x24 18x36 18x48 24x36 24x48 30x60
	Other

	Division size (example 0.1lbs) *

	Scale Height (between 26in to 38in) *

	Do you need diverts? *
	Yes No
	How many/what type?

	Do you have pictures? *
	Yes No
	Do you have drawings? *
	Yes No
	Additional comments *

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