REQUEST OF QUOTATION FORM
NOTES: The fields marked with (*) must be necessary filled in
CUSTOMER INFORMATION
COMPANY NAME: *
CONTACT PERSON: *
ADDRESS:
CITY: *
PROV.:
ZIP CODE:
COUNTRY:
PHONE: *
FAX: *
EMAIL: *
PROCESS DATA
TYPE OF FLUID: *
DYNAMIC VISCOSITY: * mPa.s
DENSITY: Kg/dm3 
MIN. FLOWRATE: * m³/h  
OPERATING FLOWRATE: * m³/h  
MAX. FLOWRATE: * m³/h  
MIN. PRESSURE: bar
OPERATING PRESSURE: bar
MAX. PRESSURE: * bar
MIN. TEMPERATURE: °C
OPERATING TEMPERATURE: °C
MAX. TEMPERATURE: * °C
POWER SUPPLY:
ELECTRICAL CLASSIFICATION:
 
FLOWMETER SPECIFICATION
PLANT:
TAG:
MODEL:
QUANTITY:
SIZE: *
FLANGES: *
FLANGES RATING: *
OUTER HOUSING MATERIAL: *
INNER HOUSING MATERIAL: *
FLOW DIRECTION: *
ACCURACY: *
 
ACCESSORIES
MECHANICAL COUNTER:
ELECTRONIC COUNTER:
PRESET:
TEMPERATURE COMPENSATOR:
PULSE TRANSMITTER:
4 ÷ 20 mA OUTPUT:
PROTECTION STRAINER:
FILTRATION DEGREE:
AIR SEPARATOR:
OTHER:
   
NOTES AND OTHER REQUESTS
*campi obbligatori