PACHMAS - Adjustable Inquiry

* Required Field

* Name

* Company name

Field of activity

Website URL

* Address

* Country

* Phone number

Fax

* Email

Commercial potential

Annual potential / consumption:

Typical ordering lot:

Please specify the following information regarding the filling goods:

Material chemical name or CAS number:

Material status during transport:

liquid

solid

Specific gravity (or volume gravity for solids):

UN number of the shipping product:

Packing group:

I

II

III

Chemical composition (please attach MSDS):

Preferred packing volume:

Preferred packing material:

Metal	Plastic	Fibre drums
Combination

Need for food compliant:

yes

no

Typical use of Package:

Storage condition:

Stacking:

palletizing:

Special fixtures

Remarks

Form ID