Quote Request If you are human, leave this field blank. Name * Full Name Company * Address City State/Province Zip/Postal Code Country Phone * Email * Date quote requested Corotec Representative * Dennis Damon Bill Campbell Gloria Case NOTE: Please provide as much information as possible in the form below so that we can provide an accurate quotation. Process Equipment: Treat on: One Side Two Side Width to be treated: Treat on: Top of Web Bottom of Web Min. & Max. Web Width: Web Tension: Typical Production Speed: Max. Production Speed: What is the main reason for treatment?: Has your material been pretreated?: Yes No Material Gauge Additives Dyne Level Required NOTE: If you are sending samples for evaluation in our lab, please note that we require a 3-inch or 6-inch diameter core with a maximum width of 40 inches. Please include at least 500 feet of material. Comments FedEx or UPS account # for overnight sample return: INSTALLATION INFORMATION Will this system be installed in a hazardous area? Yes No What plant voltage is available? Volts Phase What is the plant air pressure? PSI SALES INFORMATION Date quotation required: What is your estimated budget? Type of quotation required: Formal Budgetary Projected date of purchase: Power supply type: Full Featured Economy Electrode type: Fixed Width Fully Segmented reCAPTCHA Submit
