Caltherm
Check Valve
Questionnaire
Company
Name: ___________________________________________
Address:_________________________________________________
Telephone/Fax:___________________________________________
Company
Contact:______________________________________________
_____________________________________________________________
Application
Description:
_____________________________________________________________
_____________________________________________________________
1.
Application
______________________________________
2. Cracking Pressure_________ PSI or ________ KPA
3.
Flow
_______ @ _________
4.
Maximum
Leakage @ psid in reverse flow ____________
5.
Fluid
Media _____________________________________
6.
Temperature
range of system _______________________
7.
Duty
Cycle/Durability __________________________
8.
Corrosive
Factors ______________________________
9.
Mounting
Method
Press Fit-Interference______ inches
Snap Ring ________
Other _________
10.
Materials
Required ________________________________
11.
Estimated
annual quantity _______________
12.
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