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1. General Information
Company Name*:
 Date Required:
Address*:
City*:
 State*: Zip Code*:
Country: if not USA
Phone*:
Fax:
Attn:
Email Address*:

2. Inflatek Valve Requirements
Check all item boxes that apply.
Quantity Required
Size 50mm 101mm 152mm 203mm 254mm 305mm
Configuration Bulkhead Inline
Drive Mactenn
Actuator
Manual Bare Shaft Other:
Operating Pressure Atmospheric
 100 psig Vacuum Other:
Operating Temp. < 230 F
 < 400 F
 < 535 F
 Other:
Contact Parts Construction Cast Iron
 Stainless 304 Stainless 316 Teflon
Coating 		Other:
Inflatable Seal Elastomer
Neoprene
<230F
Silicon
<500F
Viton
<400F
EPDM
<500F
Food
Grade
<230F
 
Seal Protection / Dome Scraper Ring 50mm 101mm 152mm 203mm 254mm 305mm
Controls Con 1  Con 2  Con 3  Con 4  Con 5  Other 
Other Requirements

When complete, please click the "Submit" button.
Or print out, and mail or fax to your representative or our office.

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A Division of
Macawber Group

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