INQUIRY FORM

Please fill out this form and let us know if there is any additional information you would like to receive about us or our products.
We will be happy to help. Thank you!

1. PERSONAL DATA
*Please fill in marked fields otherwise we will not be able to reply.
Name*:		Mr.  Ms.
Company:		Department:
Address:		Zip:
City:		Country:
Telephone:		Fax:
WWW address:		E-Mail*:
2. SOLENOID VALVE DATA
APPLICATION:
Fluid:		Viscosity:
Additives or impurities in fluid:
Fluid temperature:	max =    min =
Operating pressure:	max =    min =    average =
Flow rate [l/min; m3/h; kg/h]
Ambient temperatura:	max =     min =
VALVE DESIGN:
Ports (G/BSP, NPT, itd.):		Orifice diameter:
Valve body material:		Seal material:
Mode of operation:	2/2 NC2/2 NO3/2 NC3/2 NO
	Other (please specify):
	NC = closed when de-energised, NO = open when de-energised
Supply voltage:
Valve duty cycle:	Permanently energised	Time ON =
	Intermittently energised	Time OFF =
Working environment description (dry, humid, dusty, outdoors, etc.):
QUANTITY:
REMARKS, OTHER: