28265 Beck Road, Suite C-11, Wixom, MI 48393 U.S.A.

 
APPLICATION SPECIFICATION ASSISTANCE FORM
 

For quick application assistance please fill in for the required information indicated below. For immediate assistance please contact us at 248-380-3569. We thank you for your interest and appreciate the opportunity to quote.

Personal Information:
Name:
Company:
Email:
(optional)
Phone:
Fax:
REQUIRED SPECIFICATIONS
Fluid is:
Operating Viscosity:
Specific Gravity:
Gas is:
Specific Gravity:
PRESSURE
 Maximum:

(Specify Unit, ie. PSI, Bar or other)

 Operating: (Specify Unit, ie. PSI, Bar or other)
 Minimum: (Specify Unit, ie. PSI, Bar or other)
TEMPERATURE
 Maximum: (Specify Unit, °C or °F)
 Operating: (Specify Unit, °C or °F)
 Minimum: (Specify Unit, °C or °F)
FLOW RATE
 Maximum: (Specify Unit, ie. GPM, LPM or other)
 Minimum: (Specify Unit, ie. GPM, LPM or other)
CONNECTION INFO
Process Connection Size: (Inches)
Connection Type: NPT ANSI 150# R.F. Flanged DIN Flanged
  Other type
MATERIAL REQUEST
Seal Material Special Request:
Body Material Special Request:
INDICATORS, SWITCHES, TRANSMITTERS, TOTALIZERS
Indication Only Indication w/ Switch Indications w/ Transmitter output total rate and total
General Purpose Switch:
3 Wire S.P.D.T 3 Wire S.P.D.T w/Gold Contacts
4 Wire S.P.D.T 6 Wire D.P.D.T
Number of switches
required per flow monitor:
 
Hazardous Location Switch: Flameproof 3 Wire S.P D.T. Hazardous Location
Transmitter Output: 4-20Ma Other
 Enclosure: Oil & Dust Tight Water Tight Corrosion Resistant
  Other type
MOUNTING ORIENTATION / FLOW DIRECTION
Vertical Mount Flow Up Vertical Mount Flow Down
Horizontal Mount Flow to Right Horizontal Mount Flow to Left
Special Request :
(Fill in any)
Quantity:

Copyright 2006 SURE FLOW Products, LLC Tel: 248-380-3569 Fax: 248-380-3568 Email: sales@sureflowproducts.com