1. General Information

Proposal Type: Budget Full		Date Required:
Company Name*:
Address*:
City*:	State*:	Zip Code*:
Country: if not USA
Phone*:	Fax:
Attn:
Email Address*:

2. Description of material to be conveyed

Material Name*:	Material Use*:
Bulk Density:	Aerated lbs. / cu. ft.	Packed lbs. / cu. ft.
Particle Size:	Maximum	Minimum
Particle Size Distribution:
Moisture Content (surface):	Maximum %	Minimum %
Temperature:	Maximum °F	Range °F
Flowability: (describe; 1 being poor and 5 being good)
Hygroscopicity:	Yes No
Corrosive:	Yes No
Caustic:	Yes No
Explosive:	Yes No
Angle of Repose:	°
Abrasiveness:	High Moderate Low Nonabrasive

3. Site conditions

Elevation:		Maximum Humidity:
Maximum Ambient Temperature:		Minimum Ambient Temperature:
System Location:	Indoor Outdoor
Compressed Air Available:	Yes No	SCFM PSIG
Area Classification (NEC):

4. Process Requirements

System Requirements:	tons / hr.	Operation Duty:	hrs. / wk.
Conveying Distance:	ft. Horizontal	ft. Vertical	Bends
How is the System to be fed?
Conditions at Feed Point:	PSIG	Inches Hg
Headroom Available at Feed Point:	ft.
Is Material Degradation a Concern:	Yes No
Is Batch Weighing Required:	Yes No	If YES:	Batch Size Batch Time
System Construction:	Standard 304 SS 316 SS Other (specify below)
Please provide any more necessary information in this text box.

5. Scope of Supply (Please check all that apply)

Transporter	Reception Bins	Level Indicators
Weigh System	Filters	Blower / Compressor
Distribution Valves	Bends	Terminal Box
Feed Hopper	Pipe	Electrical Controls