Scientific Application Data Form (Valves)

Quick Form (See below for full form)

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Email:*      

Company:  

Attachments: (Max. File Size: 10MB)

Your Message:

City:         State:       Zip Code:

Tel #:        Fax #:

Full Form

Description of Application

 New Application Replacement

Contact:*       Email:*

Project/Proposal No. (assigned by Valcor): 

Revision (Valcor user only): 

Reason for Replacement:  (check all that apply)
 Performance Quality Delivery Pricing

Prototype: 
Quantity Required:       Date Prototype Req'd:

Production: 
Annual Quantity:      Est. Date to Production: 

General Description of Application:

Valve Type:   2-way 3-way

Operation:   Normally Closed Normally Open Diverter Selector

Port Type/Size:      Specify Other: 

Fluid:        Max Fluid Temp:        Max Amb. Temp: 

Min Fluid Temp:        Min Amb. Temp: 

Materials in Contact with Fluid

Elastomers: 

Plastics: 

Metals: 

Flow Requirements (Max):   GPM SCFM

Orifice Diameter (if known):      Cv (if known): 

Voltage:      Max Power Allowed: 
    Specify Other Voltage: 

Inlet Pressure:      Outlet Pressure: 

Enclosure:      Electrical Termination: 
    Specify Other: 

Duty Cycle:      "ON" Time:     "OFF" Time: 

Cycle Rate:     Operating Life:  (cycles)

Response Time:     to "open" to "close"

Special Requirements: (i.e. Mounting Orientation, Cleaning, Packaging, etc.)

Additional Instructions to Valcor: 

Attachments: (Max. File Size: 10MB)