Application Profile Submission Form

To see an example of an existing application profile, click here.

Fields shown with * are required.

Industry:
Customer Name:
Headline Suggestion:
Subhead Suggestion:
The Challenge: (What technology was used before? What was the problem that led the customer to look for a different technology? Design changes for new product environment? What type of environment are the products exposed to, etc.)
Application Description: (Which Industry: Packing, Pulp & Paper, Food & Beverage, Semiconductor, Automotive, etc.? What does the equipment/machine do on a daily basis? How often does it run: cycle time, days per week, etc.)
Solution: (How did BWC solve the problem or meet the challenges listed above? Any cost savings or efficiencies gained?)
Products Used: (List products sold/used? i.e. (4) Size 3 Wheels, (1) Size 2 LoPro, Belt Driven, etc.)
	I will send photos of the application via email
	I will send photos of the application via snail mail
Your Name:*
Your Title:
Your Company:
Your Email:*
Your Phone:*