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Company Name:
Contact Person:
Telephone:
Email:
Address:
City:	State:      Zip:
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Industry:
Type of Container To Be Filled: Jar/Bottle:   How Many Containers/Minute? <20      20-40      40-70      70-400 Bag:   What Fill Weight? <25 lbs (<11.3 kg)      >25 lbs (>11.3 kg) Pail/Drum:   Timing? <2 months      2-6 months      6-12 months      >1 year
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AMS Filling Systems, Inc.
2500 Chestnut Tree Road
Honey Brook, PA 19344
U.S.A.

Telephone:	800-647-5390 (Toll Free) 610-942-4200
Fax:	610-942-7123
Website:	http://www.amsfilling.com