Request for Quote

Thank you for your interest in Multi-Vac.  Please fill out the following form and we will be contacting you shortly.

Multi-Vac
A Division of M & W Shops, Inc.
21209 Durand Ave.
Union Grove, WI 53182-9711
Toll Free: 800-640-4213
262-878-0366
Fax: 262-878-0368

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Company Information
Company: *
Quote Due Date:
Address:
City:
State:
Zip Code:
Country:
Telephone: *
Fax No.:
Name: *
Title:
E-Mail: *
Copy To:
Title:
E-Mail
Project Name:
1. Application
Application:
Unit of Measures:
2. Process
Describe your process
3. Materials To Be Conveyed
Materials To Be Conveyed:
Avg. Particle Size:
Max. Particle Size:
Bulk Wt.: Lbs./Cu. Ft
Material Degradation a Concern? Yes No
Moisture Content as a %:
Probe Required:
Characteristics of material: dry
wet
hot
sticky
fibrous
abrasive
electrostatic
acid
oily
Maximum Material Temperature:
4. Conveying Rate
Required Conveying Rate per hour
Please Specify Units(tons, liters, gallons etc...)
Max. Conveying Distance:
Horizontal:
Vertical Up
Vertical Down
No. of Turns
Elevation of Jobsite feet above sea level
5. Hose Diameter
Preferred Hose Dia.:
6. Questions for Fixed Manifold System
Piping Required: Yes No
Piping Layout Attached: Yes No
Multi-Vac To size pipe
supply pipe
install pipe
Total Number of Pick Up Points:
Total Number of Drop Points:
Number of operators at same time:
Silo/Bin/Bunker:
7. Electrical
Electrical Service:
Please Specify Volts, Phase, Hertz
Explosion Proof NEMA Classification:
Powered By:
Compressed Air Available: Yes No
psi:
8. Hopper System
Description of Hopper System Required
Product Discharges:
Other Type of System, please describe:
What happens to material after it is collected:
Vacuum Power Pack located:
Similar To Model or Photograph No.:
Add any details we should be aware of:
9. Vacuum
Vacuum to be Towable: Yes No
Towable:
Ground Clearance:
10. HEPA Filtration
HEPA Filtration: Yes No
Noise Specification: Yes No
Required Decibels @ 3 feet:
11. Surface Preparation
Special Surface Preparation: Yes No
Specification:
12. Paint
Special Paint Required: Yes No
Specification:
13. Special Features
Intercept Hopper:
14. Specifications
Specifications Required:
15. Base Price Special Equipment
Special Equipment To Be Included In Base Price:
16. Optional Special Equipment
Special Equipment To Be Included As Optional Items:
17. Delivery Requirements
Shipping, Unloading, and Installation Considerations:
Smallest opening equipment passes through:
Please Specify wide x high
Headroom limitations:
Floor load limitations:
Floor space limitations:
Please Specify wide x deep
18. Purchase Time Frame
Please indicate a purchase time frame for this application:
19. How did you find us?
Please advise how you found us:

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