Contact:

Company:

Phone:

E-mail:

Address:

City:

State:

Zip:

Country

Industry:

Application:

Material(s) to be dispensed:

Material Description:

Flowability

Particle Size:

Sticky?

Yes No

Clumps?

Yes No

Segregation Issues?

Yes No

Hydroscopic?

Yes No

Hazardous?

Yes No

Pyrotechnic or Explosive?

Pyrotechnic Explosive

MSDS Sheets Available:

Typical dispensed weight:

Typical Accuracy:

Type of Container Used:

Dimension of the Containers:

Weight of Containers (Grams):

Throughput per Hour:

Special Concerns: