Strainer Sizing Inquiry Form

Please complete the following form as completely as possible. Optionally you may fax the information requested to our office at 908.362.5631 or call us and provide it verbally at 908.362.9981 between the hours of 8:30am to 5pm EST M-F.

Click Here for the PDF Version that you can complete and email or fax. SCROLL BELOW TO FILL-OUT THE FORM ONLINE.

All highlighted fields must be filled in to submit the form.

SECTION 1: CONTACT INFORMATION

Company :
Contact:
Address:
City:
State:
Zip:
Email Address:
Telephone#:
Fax#:

SECTION 2: APPLICATION DATA

What is your primary business?
What type of service is in need of filtration (cooling water, ink, paint, etc...?
What type of filtration is currently being used (bag, cartridge, etc...?
What exactly is the problem that you want to solve?
Brand or type of filter vessel to be used?
What brand or type of filter bag has been previously used?
Is this a continuous or batch duty application?

Flow rate:
Operating pressure:
Operating Temperature:

SECTION 3:
Description of sample required	Monthly Potential if Tests are Favorable	Quantity Required for testing

Application Overview and Special Considerations: (noting any limitations, constraints or requirements)

This Equipment is Required Within:

ACCEPTANCE NOTICE: The data submitted via this form is correct to the best of our knowledge. However, we do not assume any liability for the accuracy of completeness of this data. The final determination of suitability of product and information, use intended, manners of that use, or infringement of patents, is the responsibility of the user.
	(Please indicate Agreement) I agree

FACTORY DIRECT PIPELINE PRODUCTS, INC. Your Single Source for Industrial Filtration and Valve Products Copyright 2001-2010	phone:	908.362.9981 x-302	Accept Credit Cards Online
	fax:	908.362.5631
	email:	fdpp@fdpp.com