Additional Information and Quotation Request Form

Filling out this form completely will help us answer your questions and send you a quotation faster:

NOTE: We will ONLY respond using email for all international inquiries. Please do NOT ask us to contact you via any other means.

Machines requiring 220-240 VAC 50/60 Hz power are no longer available! We can only build 110-120 VAC 60 Hz machines. You will need to purchase a STEP-DOWN transformer at your end to use with the machine and it will function very well.

Your Name: *

Company Name:

Street Address:

City:

State:

Zip Code:

Country:

Voice Phone Number:

Email Address: *

Application:

Have you used a perforator before?

How soon are you considering a purchase?

How would you be paying for your purchase?

Will you require the DATE?

If Yes for DATE, what format?

If you require the DATE, it is normally done with 6 digits and is ALWAYS the second line of perforation. It can ONLY be changed manually, but it is very simple to do.

Will you require any inscription for the FIRST line? If yes, what?

If "Other", what do you want to have there?

Will you want any inscription in the THIRD line? If yes, what?

Do you need the FIRST line to be changeable?

If Yes, what do you need it to say?

If this machine is for a NUMBERING application, other than the date, how many digits do you need?

Is the address above where you would be having the perforator shipped to?

How many units are you looking to purchase?

What is your POWER requirement?

Please enter any other specific questions or requirements you have: *

Thank you for time. We will get back to you just as soon as possible!