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CUSTOMER INFORMATION
Your Company:
Your Name:
Address:
City, State, Zip:
Country:
Your Phone Number:
Your Email:**

** This field is mandatory in order to send this form.

MATERIAL TO BE VIBRATED (NECESSARY INFORMATION)
Type of Material (Not trade name):
Moisture Content: dry damp wet   percent:
Condition: granular powder
Weight per cubic feet:
Discharge: continuous intermitent
Flow Problem: packing bridging rat-holing
POWER AVAILABLE - preferred (NECESSARY INFORMATION)
Electric Air Either
Air - volume: CFM at:
PSI pressure at vibrators (not at compressor):
Electricity Phase: Volts: Cycles: AC: DC:
BIN
Basic Configuration (see drawings below): rectangular conical cylindrical other
Discharge: center side end
Bin Material: steel wood concrete capacity
Wall Thickness: Height(sloping section):
Length: Width:
Bottom Size: Discharge Opening:
CHUTE
Steel Wood
Wall Thickness: Length:
Width Upper End: Width Lower End:
Depth:
Chute is Hanging Chute is Mouted in Place Chute is Movable
Chute is Rigidly Welded in Place
Degree of slope off hoizontal:
CONCRETE FORM
Steel Wood
Wall Thickness: Length: Height:
Top Width: Bottom Width:
CONCRETE MOLD (concrete products)
Steel Wood Concrete Latex Lined
Length: Width: Depth:
Number of Supports:
Total Weight mold, casting, steel, etc.
TABLE (concrete products)
Steel Wood Concrete/Top Size
Weight: Top Thickness:
Object to be vibrated: Length: Width:
Weight:
SUPPORTS (concrete products)
How is unit to be vibrated supported? on ground on concrete slab on steel posts on concrete footings on concrete beams on rubber pads on steel beams
on rubber mounts on coil springs
How Many Supports:


Include engineering drawings if available. Otherwise, sketch exactly where the problems occur and insert your application dimensions and any additional information on the appropriate drawings (seen below). Digital photographs of applications are also accespted. Please e-mail them to vibrators@vibco.com

DIMENSIONS
Width:
Length:
Height:
Depth:
DIMENSIONS
Width:
Length:
Height:
Depth:
DIMENSIONS
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Length:
Height:
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DIMENSIONS
Width:
Length:
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Depth:
DIMENSIONS
Width:
Length:
Height:
Depth:
DIMENSIONS
Width:
Length:
Height:
Depth:


For further Application Assistance contact VIBCO at 800-633-0032 or via email vibrators@vibco.com