Quote Request Form Grid Change Parts
If you are inquiring about change parts for a non-hartness machine please call Mike Hood @ (864) 297-1200
Please fill out the form completely for each item requested for quote.

General
Date: 
Contact Name: 
Company Name: 
Bill To: 
Ship To: 
Fax: 
Phone
Email: 
    
Bottles
S/N of Machine: 

Product Description,
include size (oz, liters, etc): 
# Of Lanes: 
# Of Bottles in Lane at Drop: 
Bottles: 
 Glass or Plastic
  Empty or Full:
  Round or Non-Round
Petaloid Base: 
Yes No
If plastic, note temp. at drop: 
    
Case
Description: 
# Of Cells: 
Number of cases per drop: 
Open Case or    Partitions
If partitions: 
Chipboard or Corrugated
Partition Height: 
 
Flaps
Flaps Vertical: 
Yes No
Reshippers: 
Yes No
Tabbed Down: 
Yes No
   

If samples are unavailable please provide case specs, partition specs, and bottle DWG's. Budgetary quotes can be done without samples or drawings. Note that pricing will be subject to change pending evaluation of samples and/or drawings.
After completing this form in it's entireity, please print a copy and send it with two cases of product with caps to:

Hartness International
Attn: Mike Hood
1200 Garlington Rd
Greenville, SC 29616
Dock B or C
Any sample received without this form may delay quote request, order processing, and/or change part delivery schedule.
PO's will be accepted by fax (864) 213-1732, or email mhood@hartness.com
Special info & notes: 
Are you sending samples?
  Yes  No
   
Please DO NOT hit SUBMIT till form  
  has been printed!