Rejuvenoil

Ion Chemical, Inc.
708 Newbury Lane, Schaumburg, IL 60173
Tel: 847-682-6212 • Fax: 847-884-9454 • Toll Free: 866-922-3510
email: info@rejuvenoil.com

Purpose
Name *
Title
Company *
Address
City, State Zip
Phone
Fax
Email *
Type of Business	Restaurant Fast Food Buffet Multi-Unit Chain Cafeteria Hotel/Banquet Equipment Dealer Food Manufacturer Other:
Comments

Please provide the following information to help us
understand your operation.

Frying oil type:
Soybean
Canola
Lard
Vegetable
Palm Other:

Number of fryers (well):

Oil capacity per fryer (well):

Do you filter: Automatic Filtration System
Manual
No filtration

Oil quality measurement:
AV level
Color
Days used
Taste

Replacement Frequency: days

Monthly cost of frying oil:

Cost per Container	Capacity per Container	Number of Container	Cost
$	( ) X	=	$/month