Company Name

Your Name *

First Name Last Name

Your E-mail *

Address

Street Address

Street Address Line 2

City State / Province

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Phone Number *

- Area Code Phone Number

Floor Height

1st Inlet (mm)

2nd Inlet (mm)

3rd Inlet (mm)

Input Height

1st Inlet (mm)

2nd Inlet (mm)

3rd Inlet (mm)

Exit Height (mm)

Chute Interface Equipment Input

Conveyor Width (mm)

Chute Interface Equipment Exit

Conveyor Width (mm)

Chute Configuration (Left)

L 90' L 180' L 270' L 360'

Chute Configuration (Right)

L 90' L 180' L 270' L 360'

Chute Quantity (Unit/s)

Type of package

Airport Baggage General Parcels Mail Bags Polythene Bags Unprotected Metals

Maximun Package Weight (kg/s)

Maximun Package Size

Length (mm)

Width (mm)

Height (mm)

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