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Name*
Vorname Nachname
Company*
Phone*
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Fluid to be Dispensed
Name
Product Category
Viscosity (cP)
Viscosity similar to
Foaming characteristic
- Yes
- No
Stringy characteristic
- Yes
- No
Crystallizing characteristic
- Yes
- No
Metals
Plastics
Elastomers
Other Materials
Dispensing Parameters
Volume (ml/shot)
Cycling Rate (shots/minute)
Dispensing Temperature (°C)
Filling Method
Indeed/Outfeed Connections
Size & Shape of Container
Pump Arrangement
Number of Pumps Per Machine
Pump Mounting
Infeed System Required
Fill Nozzles Required
Fill Nozzle Movement
- Yes
- No
Drives
Controls
Special Support Systems
Other Information
Questions or Comments
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Fluid to be Dispensed