Form/Fill/Seal

Please tell us about the type of equipment you are looking for. (* = required information)

1.	*Company Name
2.	*Street
3.	*City/Town
4.	*State/Province
5.	*Country
6.	*Zip Code
7.	*Please give us your name
8.	Email Address
9.	*Telephone
10.	*How did you hear about us?
	Internet Search Word of Mouth Paper / Magazine Ad Email From Associate Trade Show Other
11.	What type of machine is required?
	Vertical Horizontal
12.	What size pouches are being filled?
13.	What are your speed requirements?
14.	What type of operation is needed?
	Fully automatic Semi automatic
15.	What type of film will be used?
16.	Tell us about your application:
	Blister: aluminum/aluminum Blister: thermal Pouch: vertical Pouch: horizontal
17.	What type of product is being filled?