Company Name 
Person to Contact
Designation
Address 
Tel No.
Fax
E-mail Address
Enquiry
 
If you have problem filling the Sales Initiation Form (below), just send the above information to us. We will get in touch with you. 
 
 
PRODUCT TO BE CONVEYOR
Product
Physical dimension mmL  x mmW  x mmH
Diamm x  mmH/L
Nett Weight kgs
 
Product Material
Carton
Tray
Pallet
Drum
Basket
Others
 
Product/Packing Shape
Square
Rectangular
Round
Other
 
Packing Method 
 
Process/ Flow Notes
 
CONVEYOR SPECIFICATION
Conveyor Type :
Gravity Roller Sprocket Driven Roller Accumulation Roller
Polycord Roller Belt Skate Wheel
Others
 
Conveyor Model Others
Conveyor Length mm Conveyor Length mm
Conveyor Width mm Conveyor Width mm
Conveyor Height mm Conveyor Height mm
Roller/Wheel Diameter mm Remarks
Roller Length mm
Roller/Wheel Pitch mm
 
Roller Finishing
Galvanized Zinc Coated
Black Pipe
Other (please specify)
 
DRIVE UNIT
Motor Capacity
0.2 kw
0.4 kw
0.75 kw
1.5 kw
Other
 
Speed m/min(fixed)  to  m/min(Variable)
 
240V x 5-Hz
415V x 50Hz
Single Phase
Three Phase
 
Structure Colour
Makitech Standard (Powder Coated Blue)
Others
 
OTHERS
Stopper 
Mechanical
Pneumatic
Hydraulic
Others
Side Guide 
One side
Both side
Side Guide Type 
Angle Bar
Round Pipe
Skate Wheel
Others
 
Other Accessories
 
Working Environment
In door
Outdoor
Temperature ºC
Others(please specify)
Quantity unit
 
Delivery Schedule            Date Mode of Delivery Date 
1. Ex-works   By Seafreight
2. Ex-Factory   By Airfreight
3. FOB   By Bonded Truck
4. C & F   By Normal Truck
5. CIF   Own Collection
 
Technical Requirements
YES 
NO 
1. Design Drawing Needed
2. Electrical Control Needed
3. Project Engineering Needed
4. Meeting Needed, Date
 
OTHER COMMENTS