Contact Information

Name: 

Title: 

Company: 

Address: 

City: 

State:        Zip Code: 

Country: 

Telephone: 

Fax: 

E-Mail:  @ . com net org gov edu biz

Quote Information

Valve Size:  in.

Valve Type:

Ball Valve  Butterfly Valve  Other (Explain:)

End Connections: 

Media Temp.:  °F

Media Pressure:  psi

Media Type: 

Actuation: 

Pneumatic (Air/Air)  Pneumatic (Air/Spring)  Electric  None

Air Supply (if actuated): 

Less than 40psi  40psi  60psi  80psi (standard)  100+psi

Quantity: 

Automation Accessories: 

        (2) SPDT Mechanical Limit Switch

        (2) SPDT Proximity Switch

        3-15psi Pneumatic Positioner

        4-20mA Electro-Pneumatic Positioner

        Solenoid

        Other (Explain:)

Other Comments or Requirements: