Customer Name
Date  
Address
 
City
State    Zip  
Contact
Message:
Title
Phone
Fax
Email Address


Product Specifications:
(We MUST have sample of product in order to quote)
Tablet:  
Diameter
Thickness
Shape
Other

Powder:  
Granular?
Yes || No
Dusty?
Yes || No
%Fines
Explosive?
Yes || No
Density
Fill Weight
Free Flowing?
Yes || No
Non-Free Flowing?
Yes || No
Other

Does your product need protections from:
Light
Yes || No
Moisture
Yes || No
Oxygen
Yes || No
Abrasion
Yes || No
Other

Does your product need to be sterilized in the pouch?   Yes || No
 
What shelf life do you require? How many months?  
 

Has the packaging material been selected?  Yes || No
If so please describe the lamination:
Medical Devices: (describe items and send samples)
Weight
Length
Height
Shape

Liquid:
Light (water, alcohol, etc.)
Viscous (syrup, vaseline, grease, etc)
Fill Per Pouch
Other

Hardware: (describe items and send samples)

Describe the packaging material :

Does your film need to be:
Child Resistant
Yes || No
Puncture Resistant
Yes || No
Peel Scalable
Yes || No
Other


Package Specifications:

Desired Package Size:
Length
Width
Products per Package
Package in strips of
Tear Notch?
Yes || No
Hole Punch?
Yes || No
Child Resistant ?
Yes || No
Cross Perforation between pouches?
Yes || No
Side Seal Perforation between pouches?
Yes || No

Is Package Photo-Registered?  
Yes, one side Yes, both sides No
 
Do you need to print on the package?
Lot and Date:
 
Text to print:
What printing method is desired ?  
Flexographic Thermographic No
 

Production Speed:
How many packages per minute would you like?

Comments