Request for Quote
Please fill out all information that applies to the type of machine you require.
What type of machine do you require? Automatic Semi-Automatic. What is the range of lot runs you require? (example; containers per minute) How many types of containers do you want to run on this machine? Specification sheets for each container and closure are required for quoting. What are the fill volumes for the mentioned containers? Is stoppering required? Yes No If yes, what type? Full insertion Lyophilize Is capping required? Yes No If yes, what type? Crimped Cap Screw Cap Snap Cap Other Do you have any space limitations? Yes No . Please provide room size, indicate meters or feet:
Do you have any special requirements? Yes No Please explain (i.e. filters, protein product, etc.):
Do you have cleanroom requirements? Yes No Class: N/A 10 100 1000 What voltage do you require? 110 220 480 other 50Hz 60Hz other Single Phase Three phase other Are any of the products being dispensed hazardous flammable or foamy MSDS sheets will be required on all dispensing products.
Would an unscrambler table be required to hold all empty bottles/vials prior to filling? Yes No Would an accumulator table be needed to collect all filled and capped bottles? Yes No
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Intellitech, Inc. • 1280 Landing Lane, #4 • Westminster, MD 21157 410.876.1229 ph • 410.876.1256 fx • inquire@intellitech-inc.com