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Application Form
Please fill out the form below with information that is as accurate and detailed as possible.
Provide your email address in the "Email" field in order to facilitate the processing and to ensure that you receive a copy of your request.
When you are finished entering your information, click "Submit" to complete your submission.
Company & Contact Information
(*All contact fields are required)
Company Name:
Street Address:
City:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
ZIP:
First Name:
Last Name:
Phone:
Email:
Application Details & Process Conditions
(*Fields with an asterisk are required)
Project Name:
Requested Delivery Date:
Tag Number:
Equipment Type:
Back Pressure Regulator
Control Valve
Pressure Reducing Regulator
*
Process Media:
*
Process State:
Gas
Steam
Liquid
Vapor
Pressure Setpoint:
PSIG
kPaA
kPaG
barA
barG
PSIA
Required Accuracy:
Units
Basic
Min
Norm
Max
Flow Rate:
lb/hr
lb/min
kg/hr
GPM
SCFH
SCFM
ACFH
ACFM
*
Temperature:
F
C
*
Inlet Pressure:
PSIG
kPaA
kPaG
barA
barG
PSIA
*
Outlet Pressure:
PSIG
kPaA
kPaG
barA
barG
PSIA
*
Density / SG:
lb/ft^3
SG
Viscosity:
cP
Vapor Pressure:
PSIA
Nominal Pipe Size:
1/8
1/4
3/8
1/2
3/4
1
1¼
1½
2
2½
3
3½
4
4½
5
6
7
8
9
10
12
14
16
18
20
22
24
26
28
30
32
34
36
40
42
44
48
52
56
60
64
68
72
76
inches
Pipe Schedule:
5S
10S
40S
10
20
30
40
60
80
100
120
140
160
Materials of Construction:
Body:
Stainless Steel
Hastelloy
Carbon Steel
Cast Iron
Brass
Spring Chamber:
Stainless Steel
Hastelloy
Carbon Steel
Cast Iron
Brass
Trim:
Stainless Steel
Monel
Brass
Materials to Avoid:
Connections:
Sanitary
150# Flange
300# Flange
600# Flange
NPT
Tube End
Other
Flange Type
Cashco Standard
14" Face-To-Face
Additional Comments
Attach File: