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FINANCING
Mira-Pak Home
Model:
10
14
140V
14T
Used Equipment
Photo Gallery
Video
App. Data Sheet
Dealer Information
Company:
Name:
Address:
Title:
City
:
State:
Fax:
Email:
Customer Information
Company:
Name:
Address:
Title:
City
:
State:
Fax:
Email:
Product Information
Product
Web
Length
Width
Weight
Bag Type
Is this product presently being packaged?
Yes
No
If yes, what is the current method of packaging?
Bulk density:
Packaging Material
Type backseal:
A)
Fin Seal
B)
Lap Seal
Operational speeds required:
Clearance Factors
Distance to lowest fixed overhead obstuction which can't or would not be moved:
Inches from floor.
Obstruction:
Additional Comments:
Optional Equipment
In-feed and discharge conveyors
Nitrogen Flush
Static Eliminators
Code Dater
Auto Film Tracking
Other
General Information
Proposal needed by:
Has this project been funded?
Yes
No
How many units will likely be needed:
Expected installation date:
I would like to recieve a Mira-Pak Division proposal based on the above and attached information.
Signature:
(Type Name)
Date:
Enter Security Code:
