Toll Free: 888-522-3538
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KISS Packaging
1399 Specialty Drive
Vista, CA 92081
Toll free:
888.522.3538
Phone:
760.714.4177
Fax:
760.714.4188
Request Information Form
Customer Information
Company
Type of Company:
End User
Manufacturer
Contact
Your Title/Position
Email
Telephone
Ext
;
Address1
Fax
Address2
Sales Rep
City
Preferred Method
Phone
Fax
Email
State
Zip
Country
Denotes Required Information
Inquiry Information
Inquiry Type
Request Literature
Quote
Sales Call
Other
What products are you interested in?
Fillers
Cappers
Labelers
Sleeve Labelers
Heat Tunnels
Material Handling
Bottle Washers
Used Equipment
Entire Packaging Line
Other
Referred By:
Magazine Ad - Please Specify
Search Engine Google
Search Engine: Yahoo
Search Engine: MSN
Search Engine: Other
Thomas Register
PackExpo.com
I'm Not Sure
Other
Machinery Budget
If you know the exact machine(s) you're interested in, please fill in the box to the right with that information.
Project Details
If you would like more detailed feedback, please continue with the rest of the form.
Otherwise you may click Submit Form to to send.
General Specifications
Fill Speed
Per Minute
Direction
Left-to-Right
Right-to-Left
Conveyor Chain
Delrin
Stainless
Other
Other
Electrical
110
220
440
V
1
3
Ph
60
50
Hz
Conveyor Height
Inches
Centimeters
Millimeters
Explosion Proof
Product Specifications
How many products do you fill?
Fill Size(s)
Example: 1, 8, 16 or 10ml - 16oz
Ounces
Gallons
Liters
Milliliters
Other
CC's
Product Type(s) or Name(s).
Example: Cosmetic; Shampoo & Hair Styling Gels
Product Viscosity Range (CPS)
If all products are water-thin check this box ?
Does the product foam?
Yes
No
Does the product have particulates (chunks)?
Yes
No
Fill Temperature
60 - 90°F
90 - 120°F
120 - 150°F
150 - 180°F
Other
Other
Type of Fill
Volume
Level
Other
Other
Contact Parts
Plastic
304 Stainless
316 Stainless
Other
Other
Seals
Buna-N
floroelastomers (R)
Teflon
Silicone
Other
Other
Other Characteristics
(corrosive, etc.)
Container, Cap, and Label Specifications
Container Size(s)
Example: 16oz, 10-16ml
Ounces
Gallons
Liters
Milliliters
Other
CC's
Container Type
Bottle
Bag
Collapsible Tube
Cartridge
Syringe
Carton
Box
Cup
Other
Other
Container Composition
Glass
Metal
Plastic
Other
Other
Container Shape
Round
Oval
Square
All of the Above
Other
Other
Neck ID(s).
Example: 1, 1.5, 2
Inches
Centimeters
Millimeters
Cap Type
Screw
Lug
Snap
Pump Spray
Trigger Spray
Spout
Other
Other
Cap Size(s).
Example: 24mm, 2"
Inches
Centimeters
Millimeters
Label Application
Front
Front & Back
Front, Back & Top
Front, Back, Top & Neck
None
Label Dimensions
Inches
Centimeters
Millimeters
Additional Information
(For all machinery orders we will require sample containers, product,
relevant sketches or diagrams.)