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Thanks for your interest in the Autocon line of equipment. This form is designed to speed your request for information. Please fill in the blanks; we will send you the requested information immediately.

Tell us about yourself and your company: (required information is indicated with )
Request for Information Fill-In Form
Your Name:
Company Name:
e-mail:
Your Phone Number:
Your Fax Number:
Your Title/Position:
Your Company Address:
City:
State/Province:
Postal Code/Zip
Country:
A brief Description of your Processing Need:
Tell us about any Testing we can do for you:
Formula Name:
When and how will sample materials be shipped?
Safety data sheets to be included? Yes No
Requested test completion date:
Is a confidentiality agreement desired? Yes No
   
Dry Constituents: % of total dry constituents by weight;
specific gravity (pounds per cubic foot)
A
B
C
D
E
Wet Constituents: % of total wet constituents by weight;
specific gravity (pounds per gallon); Viscosity @ Temperature
A
B
C
D
E
Desired Through-Put Rate: pounds per minute pounds per hour
Please describe any additional notable characteristics, e.g. abrasiveness; dilatance; thixtropy; cohesiveness; temperatures, etc. of the constituent materials and the mixed formula.
Are you currently batch/continuous mixing? Yes No
Do you have any feeding equipment available? If so, please describe:
Which Autocon products would you like information on?
  1. RAD mixers (Right Angle Discharge)
  2. DID mixers (Direct Discharge)
  3. Dispersion Pump
  4. Feeders
  5. Other
Notes:
Many thanks on behalf of the Autocon support team.