Screen Changer Data Request Form Screen Changer Data Form for Quotation Company Name Contact Name Street Address 1 Street Address 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Zip Country AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAustrian EmpireAzerbaijanBadenBahamas, TheBahrainBangladeshBarbadosBavariaBelarusBelgiumBelizeBenin (Dahomey)BoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBrunswick and LüneburgBulgariaBurkina FasoBurmaBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsChadChileChinaColombiaComorosCongo Free State, TheCosta RicaCote d’Ivoire (Ivory Coast)CroatiaCubaCyprusCzechiaCzechoslovakiaDenmarkDjiboutiDominicaDominican RepublicDuchy of ParmaEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGrand Duchy of TuscanyGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHHaitiHanoverHanseatic RepublicsHawaiiHesseHoly SeeHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKingdom of Serbia/YugoslaviaKiribatiKoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMecklenburg-SchwerinMecklenburg-StrelitzMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNassauNauruNepalNetherlands, TheNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOldenburgOmanPakistanPalauPanamaPapal StatesPapua New GuineaParaguayPeruPhilippinesPiedmont-SardiniaPolandPortugalQatarRepublic of GenoaRepublic of the CongoRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSchaumburg-LippeSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTajikistanTanzaniaTexasThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluTwo SiciliesUgandaUkraineUnion of Soviet Socialist RepublicsUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamWürttembergYemenZambiaZimbabwe Phone Number Email Address Product(s) of Interest Continuous Screen Changers (CSC) Continuous Backflush Screen Changers (CSC-BF) Discontinuous Screen Changers (Single Pocket Bolt) (DSC) Hydraulic Slide Plate Screen Changers (HSC) Manual Screen Changers (MSC) Inline Filters (ILF) Replacement Parts Repair/Rebuild Type of Application or Product Made Material Melt Index (show MI or HLMI) Output Rate Lb/hr or kg/hr lbs/hrkg/hr Fillers Filler Percent Process Temperature Deg. F or C FC Clean Screen Head Pressure PSI or Bar PSIBar Maximum Head Pressure PSI or Bar PSIBar Screen Pack Mesh and Stack Up Current Typical Time Between Screen Changes Are Screens Changed During Planned Shutdown or While the Line is Running? Heater Voltage Heater Phase 1Ph3Ph Type of Extruder Single Screw - Non-Vented Single Screw - Vented Twin Screw - Co-Rotating Twin Screw - Counter-Rotating Other Extruder Size Inch or mm inchmm Are Upstream and Downstream Detail Connection Drawings Available? Yes No Comments Send
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