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Flange Insulation Gasket Kits

Request for Quotation for Over 24" ONLY

Due Date:
Attention:

FROM:

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Email: *
Company: *
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JOB INFORMATION:

Job Name:
Job Locaton:
Engineer:
Bid Date:
Award Date:

PLEASE QUOTE REQUIRED INFORMATION BELOW:

ITEM 1:

Flange Spec: Nominal Size:
Pressure Rating: Actual ID:
Flange OD: Bolt Circle:
No. of Bolt Holes: Bolt Hole Diameter:
Bolt Size:
Flange #1 Thickness: Flange #2 Thickness:

ITEM 2:

Flange Spec: Nominal Size:
Pressure Rating: Actual ID:
Flange OD: Bolt Circle:
No. of Bolt Holes: Bolt Hole Diameter:
Bolt Size:
Flange #1 Thickness: Flange #2 Thickness:

ITEM 3:

Flange Spec: Nominal Size:
Pressure Rating: Actual ID:
Flange OD: Bolt Circle:
No. of Bolt Holes: Bolt Hole Diameter:
Bolt Size:
Flange #1 Thickness: Flange #2 Thickness:
Are there specifications available?
Are drawings required with quotation?

Instructions:

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Fax this Quote Request Form to (337) 232-3860

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