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Seal Request

     Please fill out the form below and we will respond within 24 hours, or asap if noted an emergency.  Please include all pertinent information to make our job easier and your response time shorter.  Thank you!  You  may also:
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Today's Date:  
Company Name:  

Your Name:

  

Your Title:

  
Mailing Address:  
Line 2:  

City:

  
State, Zip:   ,
Work Phone:     x
Alternate Phone:     x
Fax #:  
Email Address:  
Is this an emergency? Yes  No
     
Seal-Jet Profile:
(profiles here)		  

 
Material:
(materials here)		  

 
 
Measurements:		  

UNIT OF MEASUREMENT: 

ID:  OD:

HEIGHT: = 
Pressure:    
Speed:    
Fluid Type (s):  
Temperature:  

UNIT OF MEASUREMENT:

Minimum:   Maximum:

     
What Applications apply to the seal?
(þ all that apply)		  
Hydraulic Rotary
Pneumatic Reciprocating
Piston Rod
Combination Static
Key Performance Properties:
 (þ all that apply)		  
High Temp Resistance Low Friction
Hydrolisis Resistance Wear Resistance
Low Temp Resistance Chemical Resistance
FDA Approved Materials Low Speed
High Pressure (PSI/BAR) High Speed
Other Specifications (insert below)
Additional:
Performance Specs Info
Comments:
 (please use all the
space you need)		  
    Please only hit submit once-we will respond
to you within 24 hours.

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