Please fill out the following Request For Quotation form and click the submit button. One of our sales professionals will contact you to confirm the details and respond with a proposal very quickly. Thank you for contacting American Packaging Machinery, Inc. for your packaging needs. Please call our sales office at 815 337-8580 if you have any immediate questions and ask for a sales professional.

* Required Field

APM Representative Information
Company
Representative Name
Address
City
State	Please Select Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming
Zip Code
Email
Phone
Fax
Website
Customer/End User Information
Company
Contact Person	*
Title
Address
City
State	Please Select Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming
Zip Code
Email
Phone	*
Fax
Website
Product Information
Product Identity	Example: plastic bottles, cans, trays, etc.
Product Base Shape	Select Rectangle Round Oval Other if selected other please describe
Proudct Dimensions (in inches)
Set 1	Length Width Height
Set 2	Length Width Height
Set 3	Length Width Height
Bundle Configurations
Length measured in traveling direction / width measured in transverse direction Configurations Example: 2 X 3 X 4 Length In Inches Width In Inches Height In Inches Speed Bundles Per Minute
PRODUCT WEIGHTS
Product Weight	Minimum Maximum
Bundled Weight	Minimum Maximum
PRODUCT COLLATION (if needed)
Prodvided by Customer?	YesNo Not Applicable  Bundle Speed Per Minute
Prodvided by APM?	Yes No Not Applicable  Bundle Speed Per Minute
Desired Opperation	Automatic Semi-Automatic Not Applicable
THE CONCEPT OF OPERATION : Please Describe
PRODUCT REQUIREMENTS
Type of Enclosure Desired	SelectBules Eye (open sides)Natural Enclosure Side Seal and Trim Fold and Track Bar Seal
In-Feed Flow	SelectIn-LineIn-Line Offset From Left From Right
Voltage	Select460208230
Seal	SelectBottom static Seal OverlapBottom Drag Seal OverlapOverlap Single Roll
Electrical Cabinet	SelectLeft SideRight Side
FILM SPECIFICATIONS
Printed Continuous?	YesNo
Print Registered?	YesNo
Clear?	YesNo
Tinted?	YesNo
Gauge
Type
Opaque
Brand
Width
Other Comments
PRODUCT DESCRIPTION AND CONFIGURATION
Instructions: Specify what type of products you wish to run through the machine by entering a the speed and all the configurations you will be running next the the drawing that best describes your product. Product Types Collated Stacked Individual Speed Packs Per Minute Trayed cans in single or multi-stacks Collated YesNo- Stacked YesNo- Individual YesNo- Speed Low profile unsupported bottles in various configurations Collated Yes No - Stacked Yes No - Individual Yes No - Speed Single, Heavy Product (example - boxes) Collated Yes No - Stacked Yes No - Individual Yes No - Speed Low profile recipients, trayed Collated Yes No - Stacked Yes No - Individual Yes No - Speed Free standing, collated, soft packaged products Collated Yes No - Stacked Yes No - Individual Yes No - Speed Individually wrapped, fully enclosed small products (examples: CD's, video tapes, single or stacked magazines, books) Collated Yes No - Stacked Yes No - Individual Yes No - Speed Top and bottom supported collated boxes Collated Yes No - Stacked Yes No - Individual Yes No - Speed Collated and stacked boxes in open sides film Collated Yes No - Stacked Yes No - Individual Yes No - Speed High profile soft or hard package - unsupported bottles Collated Yes No - Stacked Yes No - Individual Yes No - Speed Collated, soft packaged, heavy products Collated Yes No - Stacked Yes No - Individual Yes No - Speed