Home
Sealant Equipment - On-Line Machine Quotation

This page is for Customers with Application Details or Click here for the General Contact Form

Representatives and Distributors: Click Here: Rep/Distributor RFQ Form.

For additional assistance or if you have any questions please call us: (734) 459-8600.

Note: Fields marked with () are required.

Request for Machine Quote - General Contact Information
First and Last  Name:
Title:
 
Company Name:
Address Line 1:
Address Line 2:
 
City:
State / Province:
Zip Code / Postal Code:
Country:
Phone:
Fax:
 
E-Mail Address:
Your Website:
 
How did you hear about us?:
   Other: 
Brief Description of Your Application:
   We encourage you to continue completing the machine quote questionnaire as accurately as possible:
General Application Information
Application Type:
Other:
Dispense Method:
Other:
Production Rate:
Parts Per
Other:
Production Schedule:
Other:
Shot Size Range:
to     
Flow Rate Range:
to     
Precision Bead Size:
Diameter
 Length
Time Allowed to Dispense:
Time Allowed to Index Part:
Total Cycle Time Per Part:
Material Information
Material Manufacturer:
Contact Name:
Contact Phone:
Material Brand Name:
Material Type:
Other:
 
PART-A
PART-B
Material ID Number:
Specific Gravity:
Viscosity @ 77° F (25° C):
CPS
CPS
Application Temperature:
°F°C
°F°C
Mixing Ratio by Volume:
Parts To
Parts
Mixing Ratio by Weight:
Parts To
Parts
Filler Type by Name:
Filler Percentage by Weight:
%
%
Supply Container Size:
Is Heat Required?: °F °C
Yes No Degrees Yes No Degrees
Agitation Required?:
Yes No   Yes No  
Thixotropic?:
Yes No   Yes No  
Abrasive?:
Yes No   Yes No  
Moisture Sensitive?:
Yes No   Yes No  
Corrosive?:
Yes No   Yes No  
Vacuum Degassing Req.?:
Yes No   Yes No  
Mixed Material Information
Mixed Viscosity @ Application Temperature:
CPS @ °F°C
Work Life / Gel Time Mixed:
    @ °F°C
Final Cure Time:
    @ °F°C
Mixed Material Usage:
Gallons/Day
Clean Up Solvent?:
Machine Requirements
Machine Type:
Other:
Machine Purge Type:
Other:
Mixer Type:
Other:
Dispense Valve Type:
Other:
Dispense Valve Mounting:
Other:
Dispense Nozzle Type:
Other:
Electrical Requirements:
Volts    Phase
Hz
Pneumatic Requirements:
PSI
CFM
Machine Options (Check all that Apply)
Automation Required Material Temperature Conditioning Unit
Robot Integration Electric Heated Hoses
X, Y, Z Table Integration Portable / Cart Mounted
Supply Transfer Pumps Boom and Dispense Valve Balancer
Supply Transfer Tanks Solvent Flush Purge
Material Agitator Operator Interface Touch-Screen
Gravity Feed Drum Rack Installation, Start-Up Technical Assistance
 

Other:

Please click "Submit" button only (1) time.

An e-mail confirmation with the information will be sent to you within 1 hour.

 
 
Phone (734) 459-8600     Fax (734) 459-8686     45677 Helm St.    PO Box 701460     Plymouth, MI     48170     USA

Home · Dispense Equipment · Equipment Quote · Dispense Valves · Valve Quote · Request Service · Map & Directions · Site Map · E-Mail Us
© Nordson SEALANT EQUIPMENT   All Rights Reserved
Policies, Terms and Trademarks