Filler Upgrade Questionnaire, Short Form

Required Fields
Customer Name:
Company Name:
Company Address:
City:
State:
Zip:
Country:
E-mail:
Phone:
Fax:

Describe the type of filler to be upgraded:

Air Packer
Auger Packer
Impeller Packer
Net Weigh Scale
Box (Gaylord)
Bulk Bag
Open Mouth Drum
Open Mouth Drum w/liner

List manufacturer and Model Number if available:

List the number of fillers you wish to have upgraded at one time:

Environmental Information:

The standard filler upgrade is priced for a non-rated area, and includes mild steel painted construction and NEMA 4X fiberglass enclosures. Options are available for wet, corrosive, and hazardous locations. Please note your specific requirements below.

Use the space below to describe your application. Thompson Scale will contact you to discuss your application, and to provide a budgetary proposal based upon this information.