Application Data Form for Shiploaders

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

Characteristics of Jetty Conveyor

Characteristics of Conveyor Height

Belt width

Belt speed

Trough Angle

Basic Information and Product Data

Surcharge angle

Product

Bulk Density

Angle of Repose

Particle Size

Bulk Loading capacity

Bag Loading capacity

Other Characteristics

Moisture Content %

Average Temperature

Location of Site

Description of Site

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