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                FILTRATION APPLICATION FORM
 
To request more information, please complete the form below.
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Name:

 

Company Name

 

Address

 

City

 

State

 

Zip Code

 

TEL:

 

FAX

 

Product to be Filtered

 

PH

 

Toxicity

 

Maximum Temp.

 

Viscosity

 

Particle Retention Desired

 

Amount of Solids to be Removed

 

Special Physical Characteristics

 

Flow Rate

 

Operating Pressure (maximum)

 

Material of Construction Required: Vessel

 

Gasket Material

 

Material of Construction: Media

 

Connection (Size & NPT/Flange)

Other Comments or Requirements

 

Email: