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Columbia Machine, Inc.
P.O. Box 8950
Vancouver, WA 98668
USA
1-800-628-4065
Phone: 360-694-1501
Fax: 360-750-9221
pallsales@colmac.com
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Customer Login:
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Password:
Email:
Palletizer Request Form
Required Fields
*
Bill To:
Ship to:
Same as Bill To
First Name:
*
First Name:
Last Name:
*
Last Name:
Company Name:
*
Company Name:
Address:
Address:
City:
City:
State:
State:
Zip:
Zip:
Phone:
Phone:
Fax:
Fax:
Email:
*
Email:
Quote Due Date:
*
Expected Ship Date:
Product Details: Please provide product and pattern details for each product.
Max. Required Cases per Minute:
Labels Out?
Yes
No
1) Product Description:
L”
W”
H”
# Cases
per Layer
# Layers
per Load
Case Weight (lbs)
CPM Required
Pallet Type
Pattern Type
Interlock
Column Stack
2) Product Description:
L”
W”
H”
# Cases
per Layer
# Layers
per Load
Case Weight (lbs)
CPM Required
Pallet Type
Pattern Type
Interlock
Column Stack
3) Product Description:
L”
W”
H”
# Cases
per Layer
# Layers
per Load
Case Weight (lbs)
CPM Required
Pallet Type
Pattern Type
Interlock
Column Stack
4) Product Description:
L”
W”
H”
# Cases
per Layer
# Layers
per Load
Case Weight (lbs)
CPM Required
Pallet Type
Pattern Type
Interlock
Column Stack
Total Number of Patterns:
Can Use Columbia Patterns
Must Use Customer Patterns – Please Provide
Application Data
Case Infeed Elevation:
Pallet Discharge Elevation:
Maximum Load Height:
Maximum Load Weight:
Maximum Layer Size:
Maximum Layer Weight:
Electrical Power Supply: 460 VAC / 3 Ph / 60 Hz
Other
Pallet Data
Pallet Type:
Pallet Size:
Sheet Data
Slip / Deck Sheet Type:
Sheet Size:
Tie Sheet Type:
Sheet Size:
Cap Sheet Type:
Sheet Size:
Facility Data
Access Door Opening:
W”
x H”
Decal Language:
Include Freight Option?
Yes
No
Ambient Temperature:
Other:
Quote Start Up / Run-in
Yes
No
Comments: