客户需求评估分析表

《客户需求评估分析表》由会员上传分享，免费在线阅读，更多相关内容在应用文档-天天文库。

1、ApplicationAssessmentForm客户需求评估分析表Tobetterserviceandassistwithyourpackagingneeds,pleasefilloutthefollowingapplicationassessmentformandfaxbackto(732)564-0444oremailtoSales@cozzoli.com.Date日期:CompanyName客户名称:__________________________________________Contact联系人:_____________

2、______________________________________Address地址:____________________________________________________PhoneNumber电话:_______________________________________________FaxNumber传真:_________________________________________________EmailAddress电邮:___________________________________

3、____________WebAddress网址:________________________________________________IndustrySegment行业:ðPharmaceutical-Aseptic制药-无菌级ðPharmaceutical-NonAseptic制药-非无菌级,外用ðCosmetic/Health/BeautyAids/PersonalCare化妆品,个人护理ðFood/PetFood/Beverage/Dairy食品/饮料ðChemical/Paints/IndustrialProducts

4、化工原料/工业制品Application应用:PrimaryPackaging前段包装机械ðUnscramble理瓶机ðWashing/Cleaning洗瓶机ðSterilizing消毒灭菌ðFilling灌装机ðStoppering/Sealing/Plugging封口机ðCapping/Crimping旋盖/扎盖机Secondary/DownstreamPackaging后段包装机械ðTrayLoading装盘,入托ðLabeling贴标ðCoding/Marking喷码ðInductionSealing感应热封ðCartoning装

5、盒ðBundling捆包ðCasePacking装箱ðPalletizing出货栈板ðTurnkeyPackagingSystems交钥匙工程ðSpecialApplications特殊要求________________________Form#F-158Page4of4UncontrolledDocumentGoodForDatePrintedOnlyProductDescriptionandType产品类别（制药、化工、化妆品):____________________________________________________

6、__产品介质特性:Aqueous水针剂:_____Viscous膏剂:_____Stringy粘合剂:______Suspension悬浮剂____Abrasive研磨剂_______Powder粉剂:______Other其它:____MethodDesired设备类型:Automatic全自动Semi-Automatic半自动Other其它:___________MachineType设备类别:Sanitary无菌级Non-Sanitary非无菌级Other其它:___________FillAccuracyDesired设精度要求:

7、PackagingEnvironment工作环境级别:Class:_级ContainerDescriptionandType容器材质(玻璃、塑料等):_Other其它:________________________________________________(Glass,Plastic,etc)#1#2#3#4#5Volume灌装量:________________________________________OD容器外径(mm):________________________________________NeckSize瓶口

8、尺寸(mm):_______________________________________Height高度(mm):_____________________________________