Name: 

Title: 

Company: 

Address: 

City:

State:

ZIP:

Telephone:

Fax:

E-mail (business): 

E-mail (personal): 

Type of Castings made: 

Mixer operating conditions:

Process used (hot box, cold box etc.): 

Binder Supplier:
 

Binder Name and Number or Type	% added	Viscosity	Weight (lbs./cu.ft.)
Sand type	AFS Grain	Temp. Deg. F	Weight (lbs/cu.ft.)

Powder additives:  Yes  No;

Name and specification	How much added?	Weight (lbs/cu.ft.)

Actual sand requirement for production:

  Pounds every  seconds;

which averages out to  Lbs/hr, or  Lbs/8 hr shift;

Power available:  460 Volt/3 PH/60 Hz;  other 

Please list any other considerations:

After completing this form please press submit and we will get back to you promptly.

Thank you!