Dispensing Questionnaire Name * Required First Last Company * RequiredPhone * RequiredEmail * Required Fluid to be DispensedNameProduct CategorySelectTechnicalFoodCosmeticPharmaceuticalViscosity (cP)Viscosity similar toSelectWaterShampooHoneyToothpasteFoaming characteristicYesNoStringy characteristicYesNoCrystallizing characteristicYesNoMetalsPlasticsElastomersOther MaterialsDispensing ParametersVolume (ml/shot)Cycling Rate (shots/minute)Dispensing Temperature (°C)Filling MethodSelectOpen topVacuumPressureIndeed/Outfeed ConnectionsSelectSwagelockSanitaryQuick ConnectPlastic TubeSize & Shape of ContainerPump ArrangementNumber of Pumps Per MachinePump MountingSelectIndependentPump PlatePump WagonOn MachineInfeed System RequiredFill Nozzles RequiredFill Nozzle MovementYesNoDrivesSelectPneumaticServoControlsSelectIndependentFrom Host MachineSpecial Support SystemsOther InformationQuestions or CommentsProvide Sketch Drop files here or Accepted file types: jpg, gif, png, pdf. NameThis field is for validation purposes and should be left unchanged.