Advanced Conveyor Systems and Fabrication        

Request For Quote Form
Please fill in, print and fax to (734 850-8338
(* Required Information)

RFQ Date Quote Due Date *
Project Name Desired Project Delivery Date*

 Company Information

 Contact Name *
 Contact Title
 Company Name
 Company Address *
 Additional Address
 City, State, Zip *
 Contact Phone *
 Contact Fax
 E-mail Address *

 Application/Project Description

 Product Specifications

 Type of product to be handled

  Carton   Wood Boxes   Tote Pans   Crates
  Baskets   Plastic Pallets   Wood Pallets   Drums
  Paper Rolls   Cloth Rolls   Bags   Bundles
  Other

Describe

  

 Dimensions of product to be handled

Length Width Height Weight
Minimum:
Average:
Maximum:
Palletized:

Yes    No

 Wrapped: Yes    No
Product Drawing:

Yes    No

 Product Samples: Yes    No
Cycle time:

 Material Handling Recommendations

  Conveyor   Overhead Crane   Manipulator   Crane
  Vacuum Lift   Specialty Machine   Rack   Turn Table
  Other

 Order/ Sequence Of Operation

 Special Notes & Paint Color

 Environment

  Excessive/Abrasive Dust       Moisture or Humidity           Corrosive Fumes
  Temperature º F       Oil           Exterior Location
  Hazardous Chemicals       Clean Environment
  Other

 Other Required Information

ACSF installation included? 

Yes   No

 ASCF electrical included? Yes   No
Customer component specs?

Yes   No

 Customer provided spec book? Yes   No
Customer provided CAD layout?

Yes   No

 Layout format: Disc  E-mail

 Supplemental Information

Is this a funded project?

Yes   No

 Budgetary Quotation?

Yes   No
Competition: