We would be pleased to send you a technical proposal/quotation for your sealing application upon receipt of this questionnaire.

COMPANY DETAILS
NAME:
DIVISION:
COMPANY:
TYPE OF INDUSTRY:
ADDRESS:
POSTAL CODE:
TELEPHONE:
TELEFAX:
EMAIL:
DATE:
TECHNICAL PROPOSAL
QUOTATION FOR PIECES
ANNUAL USAGE
OTHER

SERVICE CONDITIONS
TYPE OF COMPONENT:
OPERATING PRESSURE: Min:    Max:
TEMPERATURE RANGE: Min:    Max:
MAXIMUM LOAD:
SPEED: Min:    Max:
LUBRICATION:
MOVEMENT: oscillatory
rotation
reciprocating
static
OPERATING CYCLE constant
intermittent
COUNTERFACE MATERIAL:
HARDNESS:
SURFACE FINISH:
SERVICE LIFE REQUIRED:
SHORT DESCRIPTION OF YOUR APPLICATION OR OBJECTIVE:

REQUEST FOR SUPPLY OF LITERATURE:
Basic Seals
Piston Seals
Rod Seals
Scrapers/Excluder
Wear Rings
Pneumatic Seals
 		Rotary Seals
Static Seals
Bearings & Bushings
Custom Components
Aerospace/Defense
Miscellaneous