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.

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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.

 We offer a two-year warranty - Double the Industry Standard!

When it comes to solving liquid dispensing problems, you won't find a better resource than Sealant Equipment and Engineering, inc.

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