SURE FLOW Products, LLC

APPLICATION SPECIFICATION ASSISTANCE FORM

For quick application assistance please fill in for the required information indicated below. For immediate assistance please contact us at 248-960-3685. 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: