ACKLEY machine corporation

 

                                                                                   

                                    1273 North Church Street, Suite 106

                                    Moorestown, New Jersey  08057-1194

                                    Phone: 856 234-3626              Fax: 856 234-8657

                        info@ackleymachine.com

                        www.ackleymachine.com

 

 

 

 

 

 

 

 

 

 

Pre-quote Product Evaluation Questionnaire       

 

In order to accurately evaluate handling and / or printing efficiency, we ask that you please provide as much of the following information as possible.

 

Product Shape;

 

                             Sphere                _____

 

                             Oval                     _____

 

                             Tablet                  _____

 

                             Caplet                  _____

 

                             Bi-Convex           _____

 

                             Capsule               _____

 

                             Bisect(s)              _____

 

                             Other                             _____        (Please Describe Below)

 

_________________________________________________________________

 

_________________________________________________________________

 

Product Name or I.D. No.               ______________________________________

 

Please duplicate this questionnaire for additional products.

 


Product Surface;

 

                             Sugar Coated     _____

 

                             Film Coated        _____

 

                             Gelatin                 _____

 

                             Other                             _____        (Please Describe Below)

 

_________________________________________________________________

 

_________________________________________________________________

 

Surface Finish;

 

                             Waxed                 _____        Type of Wax       ____________

                            

                             Amount of wax product per 100 Kg                  ____________

 

                             Clear Coat           _____        Composition       ____________

 

                             Sealing Coat       _____        Composition       ____________

 

                             Other                             _____        (please Describe Below)

 

_________________________________________________________________

 

_________________________________________________________________

Product Dimensions and Tolerances and Batch Deviations;

 

                             Diameter             _____        +/-     _____

 

                             Length                 _____        +/-     _____

 

                             Width                   _____        +/-     _____

 

                             Thickness            _____        +/-     _____

 

                             Belly Band           _____        +/-     _____

 


Has An Ink Been Specified?                _____

 

If Yes,                  Manufacturer                 ______________

 

                             Color                              ______________

 

                             Ink I.D. Number            ______________

 

                             Solvent Based              _____

 

Water Based                _____

 

Logo Artwork;

 

                   Customer Supplied?             _____

 

                   Available On Disc?                _____

(If available, please supply as “outlines” In Adobe Illusrator for MAC or PC, Version 8.0 or earlier)

 

                   Needs to Be Created?          _____

 

Has a Font Style Been Chosen?                   _____

 

                   If Yes, which One?                ___________________

 

Print Style Required;

 

 

                      One Side Printing                  _____

 

                   Two Side Printing                  _____

 

                   Rectified (Capsule)               _____

 

                   Non-Rectified (Capsule)       _____

 

                   Linear Print (Capsule)            _____

 

                   Spin Print (Capsule)              _____

 

 

Projected Volumes/Year                       ___________________

 

Required Output Per Hour/ Shift                   ___________________

 

Batch Size                                                         ___________________

 

Will Development Product Supplied To Ackley Be Actual or Placebo?

 

This should always be the ACTUAL product that will be used in production.  Ackley Machine Corporation will only warrant the equipment’s function with the product submitted at the time.

 

                   Actual                                      _____

 

                   Placebo                                  _____

 

 

 

Do you, or anyone in your Company have printing experience?  ________

 

 

By providing this information we can better assess and determine the best systems and procedures required to assure a successful outcome.

 

______________________                            ___________________________

Ackley Machine Corporation                    Please Sign and Return by, Fax / Mail / Email