INFORMATION REQUEST FORM
PRINT, FILL OUT, AND FAX OR E-MAIL TO ECONOMY INDUSTRIAL CORPORATION
FAX NO. (USA)  724-266-9234 E-MAIL econind@aol.com

NAME                                                                            TITLE

COMPANY NAME

COMPANY ADDRESS

CITY                                                                                        STATE                            POSTAL Code                         

COUNTRY

PHONE                                                                                  FAX NO.                                                E-MAIL

Metal to be cast  _______________________________________________

Tap temperature ____________________ (  ) deg. F.   (  ) deg. C.

Tap size                _________  (  ) Net tons    (  ) Metric tons

Tap to tap time    ______________________________

Ladle size              _________  (  ) Net tons    (  ) Metric tons

Ladle size              _________   Top diameter  _________    Height

Metal weight in ladle (max.)    _____________  (  ) net tons (  ) metric tons

Empty ladle and lining weight _____________  (  ) net tons (  ) metric tons

Means of ladle transport ____________________________________________

Means of pouring desired   (  ) Hydraulic ladle tilter
                                                 (   ) Cable hoist tilter
                                                 (   ) Torpedo ladle car ___________ capacity
                                                 (   ) Other (specify)

Shape to be cast (  ) Pig  (  ) Ingot  (  ) Slab  (  ) Cone  (  ) Pyramid

Preferred product size  ______ x _________ x _______ (  ) in. (  ) mm

Preferred product weight  ________________  (  ) Lbs.  (  ) Kg

Power / Control Voltage  ________ / ________ v. @ (  ) 50  (  ) 60 Hz

Location 
     (  ) Inside existing building   
     (  ) Pouring end only inside building
     (  ) Outdoor
     (  ) In existing facility
     (  ) In new facility

Climatic conditions at site __________________________________________________

Space limitations (if any) ____________________________________________________

Comments: ______________________________________________________________________________

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Attach additional sheets if needed