Valve Products Information Data Form
(Note:  Fields marked by * are required)
Your Name :*
Company Name: *
E-Mail: *
TEL: *
FAX:
Address: *
City: *
State/Province: *
Zip/Postal Code: *

Application Details:
Material Being Handled:
Bulk Density: 
Temperature: (Indicate whether °F or °C) Max:  Min: 
Particle Size:      Moisture Content: 
Material is (check all that apply): 
Abrasive Adhesive Corrosive Free Flowing Sticky Explosive
Other (specify) 
Feed Rate Required: LB/HR  FT3/HR

System Details:
Pressure or Vacuum Above Valve:  Operating:  Maximum:
Pressure or Vacuum Below Valve:  Operating: Maximum:
Equipment Above Valve: 
Equipment Below Valve: 

Materials of Construction: 
    Body: 
    Rotor: 
    Tips: 
Electrical:  Voltage:Phase:  HZ:
Motor Requirements:  TEFC   Exp. Proof  Class/Div.

Other requirements or information you'd like us to know:


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