Element Identification Work Sheet

To get a quote on a custom filter, please fill out the form below or click here to download the form and fax it to 734-665-3023.


Company Information
Date:
Your Name:
Your Company:
Your Phone:
Specifications
Quantity:
Suction, Return or Pressure:
Type of fluid:
Viscosity:
System Temperature:
Pump Flow Rate:
Working Pressure:
Single or Double Open End:
Pipe Size (ie: npt, SAE, flanged):
Perforated Support Tube on: inside outside both
Type of Media:
Pleated or Plain Wrapped:
Depth of Pleat:
Degree of Filtration:
How does filter seal in housing: gasket grommet o'ring
Overall length:
Outer diameter:
Inside diameter:
Special application requirements:
Please provide additional details here:


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