To Request A Quote For A Three Lane Checkweigher
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	First Name *

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	Wash down required *
	Yes No
	Direct food contact *
	Yes No
	Are multiple products being fed simultaneously? *
	Yes No
	What type of product is being check-weighed? *
	Ready to eat direct contact frozen fresh packaged raw
	What are the specifications for the product to be check-weighed?
	Width
	Minimum *

	Maximum *

	Length
	Minimum *

	Maximum *

	Height
	Minimum *

	Maximum *

	Weight
	Minimum *

	Maximum *

	Pieces per minute
	Minimum *

	Maximum *

	How is product presented to the scale? *

	What needs to happen to product after being weighed?

	Are you requesting the check-weigher 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 Belt Speed (example 120 ft/min) *

	Scale Height (between 26in to 38in) *

	Number of diverts *

	What type of voltage is required? *

	Do you have variable speed requirements? *

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