Mixer Application Data Sheet

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First Name

Last Name

Phone

Company

Address Line 1

Address Line 2

City

State

Postal Code

How would you prefer to be contacted?

Phone

Is this mixing operation presently in operation?

Yes

If yes, present set-up:

Batch size:

Include Unit of Measure

Vessel dimensions:

Include Unit of Measure

Motor specifications:

Impellers on existing Mixer (describe and/or check box below):

Propeller

Turbine

Other

Current mixer issues and desired improvements, if any?

Materials

Additional Specifications or Comments:

Upload File (Images, Technical Drawings, etc.)

Blending Miscible Liquids	Solids Suspension
Gas Dispersion	Wetting-Out
Dispersing Immiscible Liquid	Chemical Reaction
Dissolving	Heat Exchange
Other