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Sales Rep Submitting Form

First Name

Last Name

Phone Number (Include Country Code)

Email

Company Name

Preferred Language

Country

City

Equipment Type

Extraction/Steeping CIP Utility Tanks

Full System or Vessels only

Full System Vessels only

Extraction/Steeping Size

Gallons or Liters

Gallons Liters

End Product

Concentrate RTD

Hot Liquor Tank

Yes No

Cold Liquor Tank

Yes No

Heat Preference

HLT/CLT Tank Size

Gallons or Liters

Gallons Liters

Tanks/Vessels

None Mixing Holding/Conditioning

Mixing Tank Size

Gallons or Liters

Gallons Liters

Mixing Tank Qty

Jacketed

Yes No

Holding/Conditioning Tank Size

Gallons or Liters

Gallons Liters

Holding/Conditioning Tank Features

Conical Bright False Bottom

Holding/Conditioning Tank Qty

Jacketed

Yes No

Controls

None DUR Semi-Automatic Basic Automation (Valves/Blending/Auto Level/Auto Transfer/Full Auto)

Notes

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704-900-6606 sales@deutschebeverage.com