Induction Sealing Enquiry Form

1. Please provide the following contact information:

   First Name
   Last Name
   Company Title
   Organization
   E-mail

2. Region: Australia Asia Europe South America USA Africa Other

3. Contact Phone Number

4. Choose the type of caps: Screw On Clip/Snap On Both

5. Inside Diameter of Cap     MM

6. Outside Diameter of Cap   MM

7. Capacity of Containers      lt

8. Material of Cap  PP PE HDPE PVC PET OTHER    Material of Container PP PE HDPE PVC PET GLASS OTHER

9. Contents of container 

10. Required Sealing Throughput   Products Per Minute
    

11. Length of Container  MM

12. Other Notes you would like to addOther Notes:

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Copyright © 2000 [Benefel Pty Ltd]. All rights reserved.
Revised: June 26, 2003