Machine Order Form

CUSTOMER DETAILS:

Business Name

Account Number: *

PURCHASING/INVOICE DETAILS:

Purchasing Contact Name:

Purchasing Contact Phone Number:

Purchasing Contact Email:

MACHINE / SERVICE DETAILS:

Machine Service/Delivery Customer Name:

Machine Service/Delivery Customer Phone:

Machine Service/Delivery Customer Email:

Order/Contract #

Transaction type: *

Length of Demo/Loan/Rental:

Delivery address:

Street addressStreet address line 2

City

State

Postcode

Delivery Instructions:

Does the customer require an ONLINE Induction to be completed BEFORE installation? *

CUSTOMER PACKAGING REQUIREMENTS

Is the customer wrapping dark products or using black film?

What size and weight are the customers pallets?

Does the customer require any back stops or bumpers?

For Superplus PWMs & Carton Sealer Machines Only – Does the customer have compressed air onsite?

For Superplus PWM orders Only – Do they require a remote?

MACHINE DETAILS

Machine sub-total

ACCESSORIES / CONSUMABLES

Accessories / Consumables sub-total:

Total ex GST

Refer to freight guide in Pricebook for machinery freight costs. Found here.
Search MACHINERY FREIGHT COST in file.

Omni Group Contact *

Omni Group Contact Email *We need this so you can receive a copy of MOF

Set up to be completed by: *

Film to be used for testing:

MACHINE SETTINGS:
*Please put 0 if not pallet wrapper.

Top Wraps:

Bottom Wraps:

Turntable Speed:

Ascent Speed:

Descent Speed:

PPS Cog Size: *

TENSION SETTINGS:
*Please put 0 if not pallet wrapper.

Bottom:

Ascent:

Top:

Descent:

Comments: