1. General Information

Proposal Type: Budget Full		Date Required:
Company Name:
Address:
Town or City:	County:	Post Code:
Country: if not UK
Phone:	Fax:
Attn:
Email Address:

2. Description of material to be conveyed

Material Name:	Material Use:
Bulk Density:	Aerated Kg/m3	Packed Kg/m3
Particle Size:	Maximum	Minimum
Particle Size Distribution:
Moisture Content (surface):	Maximum %	Minimum %
Temperature:	Maximum °C	Range °C
Temperature Sensitive:	Yes No - If Yes, expliain below
Flowability: (describe; 1 being poor and 5 being good)
Hygroscopicity:	Yes No
Corrosive:	Yes No
Caustic:	Yes No
Explosive:	Yes No
Angle of Repose:	°

3. Site conditions

Elevation:	Metres	Maximum Humidity:
Maximum Ambient Temperature:	°C	Minium Ambient Temperature:	°C
System Location:	Indoor Outdoor
Compressed Air Available:	Yes No	SCFM NM3/min PSIG BARG

4. Process Requirements

Injection Rate:	tons / hr.	Operation Duty:	hrs. / wk.
Conveying Distance:	Metres Horizontal	Metres Vertical	Bends
Process Back Pressure:	tons / min.	Flow Rate Accuracy*:	%
Turn Down Requirements:		Injection Type:	Batch Continuous
How is the System to be fed?
Headroom Available at Feed Point:	Metres
System to Inject to:
System Construction:	Standard 304 SS 316 SS Other (specify below)
Please provide any more neccessary information in this text box.

5. Scope of Supply (Please check all that apply)

Injector	Bins / Silos	Level Indicators
Weigh System	Filters	Blower / Compressor
Distribution Valves	Bends	Terminal Box
Strait Pipe	Controls	Other (specify below)