Caltherm
Venting
Devices Questionnaire
Company
Name: ___________________________________________
Address:_________________________________________________
Telephone/Fax:___________________________________________
Company
Contact:______________________________________________
_____________________________________________________________
Application
Description:
_____________________________________________________________
_____________________________________________________________
1.
Application
______________________________________
2.
Vent
air/water at __________ rate _________pressure
3.
Valve
seats at __________ air/water ___________
flow/pressure
4.
Leakage
minimum ______________ @ __________ pressure
Leakage maximum ______________ @ __________ pressure
5.
Desired thread size _______________
6.
Thread
sealant required on threads? ______ Yes/No
7.
Continuous
water flow in closed position _______ cc/min
8.
Fitting
size/style _________________________
9.
Materials
Required ________________________________
10.
Estimated
annual quantity _______________
11.
Estimated target price ____________
Please copy and mail or fax completed questionnaire to Caltherm address below.
Caltherm Corporation
910 S Gladstone Ave
Columbus, IN 47201
(812) 372-0281 * FAX (812) 376-8305