Request-A-Quotation
Telephone: (763)559-0177
Email:
sales@pneumadyne.com
To receive a quotation for a custom component, please complete and submit the form below. Fields with an asterisk(*) are required.
Contact Information:
First Name:
*
Last Name:
*
Title:
*
Company:
*
Address 1:
*
Address 2:
City:
*
State:
*
Zip:
*
Country:
Phone:
*
Fax:
E-mail:
*
Application Information:
Describe Your Application:
*
Estimated annual usage:
*
Desired Price:
Performance Requirements:
Temperature Range:
(if not ambient)
Pressure Range:
*
Media:
*
Flow Rate:
*
Tubing OD:
Tubing ID:
Special Notes:
Porting Requirements:
Style/Size/Configuration:
*
Materials:
i.e. Brass, Electroless Nickel Plated Brass, Aluminum, 303 SS, or Other
Seals:
i.e. Buna-N, Viton®, PTFE, EPDM, Silicon, or Other
Preferred method of contact:
Email
Phone
Decision Timeframe: (drop down menu: Please select)
1 month
3 months
6 months
No Timeframe
If you would like to include a drawing, please submit your completed RFQ form. The confirmation page will allow you to send your drawing to our Sales Department.
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