Ultra Seal Corporation

Quote Request for Contract Packaging

521 Main Street • New Paltz, NY 12561-1609 • Phone: 845.255.2490
Fax: 845.255.3553 • Email: contact us via email

Quality Review Questionnaire

This questionnaire helps UltraSeal/UltraTab evaluate your product and packaging needs. Please have your Quality Assurance personnel or Senior Officer complete this form.

   *    = required field
USC = Ultra Seal Corporation

    * = required field

    Contact Information










    Product Information









    Not applicableOne yearTwo yearThree yearFour yearOther


    yesno

    yesno
    Packaging Requirements

    BottlesTubesPacketsBlisters
    Bottles

    GlassPETHDPEOther





    yesno

    yesno

    Child ResistantHeat SealPressure SealStandard


    RibbedSmooth
    Tubes

    PlasticMetalOther





    RibbedSmoothStand-upFezPiercing FezOther

    Packets

    Paper/PolyPaper/Poly/Foil/PolyPolyester Foil LaminateOther




    Blisters



     
    Folding Carton



    yesno

     
    Shipper


    yesno




    yesno

    Julian DateBulk Mfg Lot #Customer AssignedOther

    Product Questions


    YesNoDon't Know

    YesNoDon't Know

    YesNoDon't Know



    YesNoDon't Know

    YesNoDon't Know

    YesNoDon't Know




    Authorization *