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Washer Washer Recycling System

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Washer Washer Questionnaire

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The Washer Washer Ultrafiltration System can significantly improve your wash bath while saving you money, time, and other valuable resources.  Please fill out the following form to learn how Arbortech's technology and expertise can work for you. We will contact you post haste upon receipt.

A more detailed version of the online form is available here in Adobe Acrobat PDF format. Print this form out and fill out as much information as possible. Then you can either fax it to 815-385-0089 or send via the US Postal service to our address listed on the Contact Us page.

Please fill out as many fields as possible.

Company Name:
Contact Name:
Address:
City:
State:
Zip:
Phone Number:
Fax Number:
E-mail Address:
How often do you perform a wash bath changeover? Emptied Weekly
Emptied Monthly
Emptied Quarterly
Emptied Semi-Annual
Other

If other, how many days
How many gallons is your wash tank? Wash Tank 
How do you dispose of the contaminated wash fluid? Waste Hauler
In-House Water Treatment
Approx Cost Per Gallon to dispose of contaminated fluid? $ / per gallon
What concentration of cleaner do you use to make up the wash bath? % weight
% volume
What is your cost per gallon for cleaning agents? $/ gallon
$/ pound
What impact would consistent cleaning performance have on your manufacturing processes?
(please select one)
no impact
some impact
moderate impact
noticeable impact
substantial improvement

Please tell us how you found or heard of us.

Please include any additional comments or questions not covered in the box below.

  

 

If you would rather fax the form, please fill it out completely and then fax the page to:

Arbortech Corporation
3607 N. Chapel Hill Rd.
Johnsburg, IL 60051

FAX (815) 385-0089
PHONE (815) 385-0001
Copyright 1981-2008. All Rights Reserved. Arbortech Corporation 815-385-0001