Custom Design Request

*mandatory fields.

--- CONTACT INFORMATION ---

Company name*:

Your name*:

Your email*:

Phone (10 digits)*:

--- DESIGN PARAMETERS ---

Payload size (Length, inches)*:

Payload size (Width, inches)*:

Payload size (Height, inches)*:

Ideal Storage Temperature (deg C)*:

Acceptable Lowest Payload Temperature (deg C)*:

Acceptable Highest Payload Temperature (deg C)*:

Estimated Transit Time (Hrs)*:

Aceptable Shortest Transit Time (Hrs)*:

Desired Longest Transit Time (Hrs)*:

--- COMPLIANCE PARAMETERS ---

Anticipated Lowest Ambient Temperature (deg C)*:

Anticipated Highest Ambient Temperature (deg C)*:

Any independant testing required?*:

Other Tests:

--- PROJECTED QTY PARAMETERS ---

Usage Type*:

Estimated Qty Required (Per year)*:

Additional Message (Optional) :

Yes, I consent to my data being stored according to the Akuratemp Privacy Policy.