| Please fill in whatever data is available with you in data sheet below. If some data is not available at your end please keep the fields blank. |
| Please provide the following ordering information: |
| Item No. / E.J. Tag No. |
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| Nominal Size N.B./ DN |
OTHER PLEASE SPECIFY |
| Quantity |
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| Expansion Joint Type |
OTHER PLEASE SPECIFY |
| Fluid Information |
4A Medium Gas / Liquid |
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| 4B Velocity mt / sec |
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| Pressure [bar(g)] |
5A Maximum |
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| 5B Minimum |
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| Temperature (�C) |
6A Maximum |
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| 6B Minimum |
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| Movements |
7A Axial Compression(mm) |
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| 7B Axial Extension(mm) |
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| 7C Lateral (mm) |
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| 7D Angular ( deg) |
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| Materials Of Construction |
8A Bellows |
OTHER PLEASE SPECIFY
|
| 8B Liners |
OTHER PLEASE SPECIFY
|
| 8C Pipe Specification |
|
| 8D End Specification |
OTHER PLEASE SPECIFY
FLANGE ENDS
FLANGE SPECIFICATIONS
|
| Additional Requirements |
9A Tie Rods |
|
| 9B External Cover |
|
| 9C Control Rods |
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| The Price You Expect to Pay in US $ per unit |
10 |
| |
| Personal Information |
| First name |
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| Last name |
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| Organization |
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| Title |
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| Phone |
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| FAX |
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| E-mail |
|
| URL |
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