Customer
Street / mailing
City
State
Zip
Individual and Title
Email Address
Phone No.
Fax No.
Prepared by :
Project Name :
Stage of the Enquiry
For Interest For Budget For Purchase
Proposed Storage Capacity
Storage
Indoor Outdoor Longitudinal Circular
Product
Bulk Density
Angle of Repose
Particle Size
Reclaim Capacity Required
Other Characteristics
Request of Belt weigher, Blades/Chutes in Stainless Steel
Moisture Content %
Average Temperature
Environment
Explosive Non-explosive
Location of Site
Description of Site
Mail, fax, or email us a plot plan or a sketch of the bulk hall and storage geometry :
Design Ambient Temperature
Humidity
If you have any questions about this application form or our equipment, please contact us by phone, fax, or email.
AMECO S.A. France 43, rue du 21 Novembre 68720 ILLFURTH – FRANCE Phone +33(0)3 89 25 59 69 – Fax +33(0)3 89 25 59 68 Email