Hamrick Manufacturing & Service, Inc

Please use the TAB key to move to each field.  The ENTER key will send the request.

Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail

Equipment is needed by:

Please select the type of equipment you are interested in:

Case Packer                 Remanufactured Case packer  Uncaser                     Lock-Tab Breaker          
Erecto-Pak                  Rebuilt Case Packer         Case Sealer                 Case Erector              
Continuous Motion Packer    Acculane Free-standing Lane Divider

Please provide information about the type of product you would like to pack:

Product Name

Will you be sending samples

Yes No

Please provide the following ordering information:

Container Capacity	Container Profile Round / Non-Round	Container Speed (Bottles Per Minute)	Packing Pattern (Width x Length)

Please select the type of case or carton type you will be using:

Newly ErectedReshipperTrayOther

Select any of the following options that apply:

Vertical Flaps
Non-vertical flaps
Partitions
Carrier

Please provide any additional information or special requirements

How would you like this information to be sent

Email
Fax

 

Who would you like the information to be sent to

Customer
Sales Representative
Both

Sales Representative
Company Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail

Who would you like the originals to be mailed to:

Customer
Sales Representative

Please select any additional information you would like to be sent to you:

Standard company video
on compact disc  
Company brochure