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Application form


To access your application needs, please take a moment to fill out our online Form. For a MS Word download of the Application form, please click here.

Our sales department will contact you to discuss a solution for your needs.

Fields marked with an * are mandatory.
Client details
Company * :
Contact * :
Function :
Address * :
City * :
State :
Postal code * :
Country * :
Telephone number * :
Fax number :
E-mail * :
Material characteristics
Material name 1) :
Material name 2) :
Material name 3) :
Weight (%) 1) :
Weight (%) 2) :
Weight (%) 3) :
Bulk density (kg/dm3): 1) :
Bulk density (kg/dm3): 2) :
Bulk density (kg/dm3): 3) :
Initial particle size (micron) 1) :
Initial particle size (micron) 2) :
Initial particle size (micron) 3) :
Moisture content (weight %) 1) :
Moisture content (weight %) 2) :
Moisture content (weight %) 3) :
Special characteristics 1) :
Special characteristics 2) :
Special characteristics 3) :
e.g. explosive, heat, sensitive, abrasive, friable, toxic or hydroscopic
Will there be a liquid addition? :

Liquid addition name 1) :
Amount of weight (%) of mix :
Density (kg/l) :
Dynamic Viscosity (cP) :
Special Characteristics :
e.g. flammable, solvent or water base
Liquid addition name 2) :
Amount of weight (%) of mix :
Density (kg/l) :
Dynamic Viscosity (cP) :
Special Characteristics :
e.g. flammable, solvent or water base
Process requirements
How is the material fed? :
Production volume per hour (kg/l) :
Batch size (volume/weight) :
How are you currently mixing? :
Process zone classification :
For Europe ATEX is applicable!
Electrical requirements
Voltage :
Max. Power availability :
Additional comments :



Lindor, NEW: Planckstraat 76, 3316 GS Dordrecht - Netherlands
P.O. Box 1101, 3300 BC Dordrecht - Netherlands
Tel: +31-78-6550655, Fax: +31-78-6182374, e-mail: mixers@lindor.nl
Bank :ABN/AMRO Rotterdam #46.14.75.472, Iban: NL36ABNA0461475472, Bic: ABNANL2A, KvK 23074331


 
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