Name:
Email Address:
Company:
Phone number with country code (if outside United States or Canada), area code, and number:
Street Address or Post Office Box:
State, Province, or similar:
ZIP or other Address Code
Country:
Please list the catagories of p;roducts your company offers (check all that apply):	Nutraceuticals Pharmaceuticals Bio-tech products Fine Chemicals Waste Stream Food Ingredients Meat/poultry/fish Fruits/vegetables Herbs/Spices Dairy Products Egg Products
Please list the product(s) to be dried:
Dried product volume per week:	Less than 50 kgs 50-99 kgs 100-200 kgs More than 200 kgs Not known at this time
Product beginning moisture content (%):
The Refractance Window Dryers work best when the product can be applied in a puree, concentrate or slurry form. Product characteristics:	Puree Chunky puree Concentrate Slurry Chopped Whole pieces Fine pieces Pulp Puree with seeds Other
MCD Technologies Inc. premixing or preprocessing required:	No Yes Do Not Know
Product form at delivery to MCD Technologies, Inc.	Aseptic packed Frozen Refrigerated Other
Primary product moisture:	Free Bound Do not know
Ph level (enter value [1-14], or do not know):
Required finished product moisture (%):
Desired water activity (Aw); if unknown, leave blank:
Finished product form:	Powder Flake Granulated Other
If your product contains proteins, denature proteins during drying?	Yes No Do not know
Additional relevant product information:
OTHER INFORMATION. What are the key factor(s) for determining your drying method (check all that apply)?	Cost Fast turnaround Nutrient retention Flavor retention Actives retention Color retention Overall quality Local Company Drying types (freeze, spray, air, Refractance Window) Other
OTHER INFORMATION. How did you hear about us?	Search Engine Trade site Bulletin Board Trade show Customer referral Another company E mail correspondence Promotional materials Other
Additional comments, feedback, or suggestions: