Fallas Automation Quote Questionaire
(Fill out or check all that apply)
7000 Imperial Dr.
P.O. Box 20354
Waco, TX 76712
254-772-9524 ext 1
Cell: 254-722-5831
FAX: 254-751-1242
sales@fallasautomation.com
Your Contact Information
Company Name:
Contact Name:
Company Address(to send quote to):
Phone:
Cell:
Fax:
Phone:
E-mail:
Fax:
Address for Equipment:
Project Information
Status of Project:
Preliminary
Funded
Approved
Purchase Date:
Delivery Date:
Electrical, Mechanical and Controls Specifications:
Installation Date:
Fallas Standard:
Contact
sales@fallasautomation.com
Start-Up Date:
If Yours, E-mail to
sales@fallasautomation.com
Production Date:
Product Information
Product Description:
If you have a packaging matrix, e-mail to
sales@fallasautomation.com
Solid
Liquid
Granular
Powder
Frozen
Loose
Type of Package
Rate
(
Packages per minute
)
Length
Width
Height
oz.
lbs.
Type of Case
Pack Pattern Number
(
Click to View
)
1.
Please Select
Poly Pillow Bag
Gusseted Bag
Zippered Bag
Tray
Carton
Tub
Bottle
Can
Other
Please Select
RSC
HSC
Tray
Bliss
4-Corner Post
Re-Usable
Other
Please Select
Pattern 1
Pattern 2
Pattern 3
Pattern 4
Pattern 5
Pattern 6
Pattern 7
Pattern 8
Pattern 9
Pattern 10
Pattern 11
Pattern 12
2.
Please Select
Poly Pillow Bag
Gusseted Bag
Zippered Bag
Tray
Carton
Tub
Bottle
Can
Other
Please Select
RSC
HSC
Tray
Bliss
4-Corner Post
Re-Usable
Other
Please Select
Pattern 1
Pattern 2
Pattern 3
Pattern 4
Pattern 5
Pattern 6
Pattern 7
Pattern 8
Pattern 9
Pattern 10
Pattern 11
Pattern 12
3.
Please Select
Poly Pillow Bag
Gusseted Bag
Zippered Bag
Tray
Carton
Tub
Bottle
Can
Other
Please Select
RSC
HSC
Tray
Bliss
4-Corner Post
Re-Usable
Other
Please Select
Pattern 1
Pattern 2
Pattern 3
Pattern 4
Pattern 5
Pattern 6
Pattern 7
Pattern 8
Pattern 9
Pattern 10
Pattern 11
Pattern 12
4.
Please Select
Poly Pillow Bag
Gusseted Bag
Zippered Bag
Tray
Carton
Tub
Bottle
Can
Other
Please Select
RSC
HSC
Tray
Bliss
4-Corner Post
Re-Usable
Other
Please Select
Pattern 1
Pattern 2
Pattern 3
Pattern 4
Pattern 5
Pattern 6
Pattern 7
Pattern 8
Pattern 9
Pattern 10
Pattern 11
Pattern 12
5.
Please Select
Poly Pillow Bag
Gusseted Bag
Zippered Bag
Tray
Carton
Tub
Bottle
Can
Other
Please Select
RSC
HSC
Tray
Bliss
4-Corner Post
Re-Usable
Other
Please Select
Pattern 1
Pattern 2
Pattern 3
Pattern 4
Pattern 5
Pattern 6
Pattern 7
Pattern 8
Pattern 9
Pattern 10
Pattern 11
Pattern 12
6.
Please Select
Poly Pillow Bag
Gusseted Bag
Zippered Bag
Tray
Carton
Tub
Bottle
Can
Other
Please Select
RSC
HSC
Tray
Bliss
4-Corner Post
Re-Usable
Other
Please Select
Pattern 1
Pattern 2
Pattern 3
Pattern 4
Pattern 5
Pattern 6
Pattern 7
Pattern 8
Pattern 9
Pattern 10
Pattern 11
Pattern 12
7.
Please Select
Poly Pillow Bag
Gusseted Bag
Zippered Bag
Tray
Carton
Tub
Bottle
Can
Other
Please Select
RSC
HSC
Tray
Bliss
4-Corner Post
Re-Usable
Other
Please Select
Pattern 1
Pattern 2
Pattern 3
Pattern 4
Pattern 5
Pattern 6
Pattern 7
Pattern 8
Pattern 9
Pattern 10
Pattern 11
Pattern 12
8.
Please Select
Poly Pillow Bag
Gusseted Bag
Zippered Bag
Tray
Carton
Tub
Bottle
Can
Other
Please Select
RSC
HSC
Tray
Bliss
4-Corner Post
Re-Usable
Other
Please Select
Pattern 1
Pattern 2
Pattern 3
Pattern 4
Pattern 5
Pattern 6
Pattern 7
Pattern 8
Pattern 9
Pattern 10
Pattern 11
Pattern 12
9.
Please Select
Poly Pillow Bag
Gusseted Bag
Zippered Bag
Tray
Carton
Tub
Bottle
Can
Other
Please Select
RSC
HSC
Tray
Bliss
4-Corner Post
Re-Usable
Other
Please Select
Pattern 1
Pattern 2
Pattern 3
Pattern 4
Pattern 5
Pattern 6
Pattern 7
Pattern 8
Pattern 9
Pattern 10
Pattern 11
Pattern 12
10.
Please Select
Poly Pillow Bag
Gusseted Bag
Zippered Bag
Tray
Carton
Tub
Bottle
Can
Other
Please Select
RSC
HSC
Tray
Bliss
4-Corner Post
Re-Usable
Other
Please Select
Pattern 1
Pattern 2
Pattern 3
Pattern 4
Pattern 5
Pattern 6
Pattern 7
Pattern 8
Pattern 9
Pattern 10
Pattern 11
Pattern 12
Information About Your System Feeding the Case Packing System & Misc
Horizontal or
Vertical
Elevation:
Jaw Height:
Product Output:
Single or
Double
Are your cases overfilled?:
Yes
No
Orientation of product at your discharge:
Width Leading or
Length Leading
Will any of your equipment be integrated into the case packing system:
Labelers
Printers
Sheet Inserters
RFID
Plant Environment:
Dry
Wet
Dusty
Soap & Water Washdown
Caustic Washdown
Temperature
Humid
Ceiling height where equipment is installed:
Minimum length, width, height limitations for transporting equipment through your plant:
Length:
Width:
Height:
Plant Voltage (VAC):
Plant Air (PSI):
Communication Preference:
Serial
PC Ethernet
PLC Ethernet/IP
DeviceNET
ControlNET
Other
Comments or Special Instructions: