Request of quotation(CHUORIKA CO.,LTD.)
You should answer the question - it has a mark (*) on the right side of it.
Title:Request of quotation (a mixer)
Sign in to Google to save your progress. Learn more
Source of Information: *
How did you know our product (our mixer)?
About the Model Selection: *
* If you would like to choose model selection, you choose "Yes" / If you don't, you choose "No".
If you chose to select a model, please fill in the type of model
About the Model Selection "Yes".
the Way of our contact: *
* Which way would you like to receive our replying?(You could choose several choises)
the Information about you
your company's name: *
your name: *
Telephone number:
Fax number:
E-mail Address
(We will use the address to send a confirmation mail for you.)
postal code:
address: *
The information about offering product
the Purpose of stirring: *
What's your purpose of using our mixer?
Mounting method: *
Which way would you like to mount?
Tank Shape / Size [mm]:
Pressure in the Tank [Mpa]:
セクション タイトル
Size [mm]:
Wetted / Gas Wetted material:
Liquid SG:
Liquid Viscosity [mPa/s]:
Drive system: Which system would you like to use? *
Suplly Voltage [V]:
If you chose Electronic Motor, please fill the voltage you would like to use in th following blank.
Frequency [Hz]:
If you choose Electronic Motor, please fill the frequency you would like to use in the following blank.
Air pressure [Mpa]:
If you choose Air Motor, please fill the pressure of air supply in the following blank.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.