* - indicates a required field.

Bottle (capacity and style):
Refillable | Non-Refillable | Round | Non-Round

GLASS WEIGHT: ounces:   grams:

MINIMUM THICKNESS SPECIFICATIONS: Sidewall:      Bottom:

EXPECTED AVERAGE GLASS THICKNESS:
Center Bottom:          in:    mm:
Bearing Surface:        in:    mm:
Lower Most Heel:        in:    mm:
Heel Contact:           in:    mm:
Mid-Sidewall:           in:    mm:
Shoulder Contact:       in:    mm:
Base of Finish:         in:    mm:

PRODUCT TYPE: 

PASTEURIZATION: YES:    NO:    

HOTFILL: YES:    NO:   

COLDFILL: YES:    NO:    

ANALYSIS REQUESTED: YES:    NO:    

INTERNAL PRESSURE ANALYSIS:  YES:    NO:    

VOLUMES OF CO2 AT:    °F:    °C:

VERTICAL LOADING: YES:    NO:    
LOAD VALUE: , lbf kg   FINISH STYLE: 

IMPACT LOADING: YES:    NO:    
MAXIMUM FILLING LINE SPEED:           in/sec:      cm/sec:  

IMPACT EQUIVALENCE CALCULATIONS:
YES:    NO:  
MAXIMUM FILLING LINE SPEED:           in/sec:      cm/sec:


* REQUESTED BY:(name, company, address and phone number)


Email Address:
Purchase Order Number: