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CUSTOMER INFO
Name* Phone
Company* Fax
Address Email*
City  Country    
State    
Zip   *Required fields.
PARTS INFO
Name of item to be cleaned
Material (Stainless, brass, aluminum, etc.)
Approx. Weight Approx. Size
Throughput per day How many shifts?
Contamination to be removed (oil, chips, etc.)
Any hazardous material? If yes, what?
Through holes? Blind holes?
Are we to clean inside holes?
PROCESS INFO
What is the next process? (coating, painting, assembly, packaging, etc.)
Existing cleaning method, if any?
Is existing method satisfactory?
Comments:
OTHER INFO
Special Notes: (indicate if any unusual conditions apply such as finished part to be washed must be high gloss polished from machine or incompatibility with certain cleaning agents).

Rinse required? How clean?
Dry required? How dry?
Is there an equipment build specification?
If yes, what sections apply?
Is there a written cleanliness specification?


Please note this form may also be printed and submitted through regular mail to:
Better Engineering, Mfg.
8361 Town Center Court
Baltimore, MD 21236-4964
or via FAX to:
(410) 931-0053
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Specializing in parts washers, parts cleaning, ultrasonic cleaning, degreasers, conveyor washers and belt washers.

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Better Engineering • 8361 Town Center Court, Baltimore, MD 21236-4964
Toll-free: 1-800-229-3380 • In Maryland: 410-931-0000 • Fax: 410-931-0053