| 1. Location where plant to be installed (City & Country) * | 
            
            
              | 
			   | 
            
			
  | 
            
              | 2. Ice application (Ice application ( Fisheries / Seafoods , Chicken Processing, Concrete Cooling , chemical / Pigment Dyestuff & Others) | 
            
            
              | 
			   | 
            
			
  | 
            
              3. This requirement is for:	
  | 
                | 
            
            
              | 
			   New Project | 
                | 
            
            
              | 
			  
                Expansion of existing plant | 
                | 
            
            
              | 
			  
               Replacement | 
                | 
            
			
  | 
             
              | 
			  4. Nature of inquiry: | 
            
            
              | 
			  
                Budgetary purposes  | 
            
            
              | 
			  
                Firm requirement | 
            
		   
  | 
		   
            
              | 5. Delivery Period required: | 
            
            
              | 
			   | 
            
            
  | 
	
			
              6. Type of ice required : 
                
                Tube 
                
                Flake | 
            
			
  | 
	
			
              7. Do you require only : 
                
                Ice generator / evaporator 
                
                Complete plant | 
            
           
  | 
            
              8. Ice capacity required -Tons per 24 hrs.:  
               | 
            
			
			
              | 
			  
             | 
			 
  | 
            
              9. Is ice storage required
                 
                
                Yes  
                
                No
			 | 
			
			
  | 
			
              10. Is Ice handling system required 
                
                Yes
                
                No | 
            
			
  | 
			
              11. Type of conveying system required 
                
                Mechanical
                
                Pneumatic | 
            
			
  | 
            
              | Contact Person Name:* | 
                | 
            
            
              | 
			   | 
            
            
              | Company:* | 
                | 
            
            
              | 
			   | 
            
            
              | Address1:* | 
                | 
            
            
              | 
			   | 
            
            
              | Address2:* | 
                | 
            
            
              | 
			   | 
            
            
              | City:* | 
              State/Province: | 
            
            
              | 
			   | 
              
			   | 
            
            
              | Country:* | 
              Postal Code: | 
            
            
              | 
			   | 
              
			   | 
            
            
              | Email:* | 
              Website: | 
            
            
              | 
			   | 
              
			   | 
            
            
              | Mobile:* | 
              Fax: | 
            
            
              | 
			   | 
              
			   | 
            
			
              | 
				
			   |