About Packaging Robotics, Inc.

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For a customized quote, please complete the following:

first name (required)
last name (required)
title
company
address (required)
city (required)
state (required)
zip code (required)
country (required)
email address (required)
phone (required)
fax
url

Check all that apply:
Is vacuum packing required?
Is gas flushing required?
Is emboss coding required?
Is data acquisition required?
Will this system integrate to an auto filler?
80 PSI 2SCFM compressed air supply required

What environment will this system be used in?

Available electrical supply:
Voltage (115V/20 AMPS required)
Phase (single phase required)
Cycles (60 HZ required)

Pouch Material:

Pouch/Bag Type:

Pouch/Bag Sizes

Pouch/Bag #1:
Width
Length
Gusset
Zipper
Product Packaged:
Product Weight:
Output Required:
Pouch/min	or
Pouch/hr

Pouch/Bag #2:
Width
Length
Gusset
Zipper
Product Packaged:
Product Weight:
Output Required:
Pouch/min	or
Pouch/hr

Pouch/Bag #3:
Width
Length
Gusset
Zipper
Product Packaged:
Product Weight:
Output Required:
Pouch/min	or
Pouch/hr

Pouch/Bag #4:
Width
Length
Gusset
Zipper
Product Packaged:
Product Weight:
Output Required:
Pouch/min	or
Pouch/hr

Comments:

If you would prefer to print and fax us the form, please send it to the fax number below. If you would rather discuss a quote by phone, please contact:

Name	Phone	Fax	E-mail
Sal Beltrami	(303)449-2559	(303)449-3420	aboutpr@apris.com
Lynda Muhlbauer	(303)449-2559	(303)449-3420	aboutpr@apris.com

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