EPM FAST QUOTE REQUEST FORM

www.epm.com

Step 3: Complete the form below and click the 'submit form' button at the bottom of the page.
We will contact you within 2 hours and 59 minutes or sooner during business hours.

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*Contact Name:
*Title:
*Company Name:
*Address:
*City: *St/Prov:
*Zip: *Country:
Timezone (in US only):
 
*Date:
*Phone:
Ext:
Fax:
*E-mail:
Website:

Quantities
*Purchase/Release Qty:

 *Annual Qty:
Specifiactions
*Type of Seal: *Material:

Technical Information

S.T.A.M.P.S. (Easy To Remember - 'S'ize, 'T'emperature, 'A'pplication, 'M'edia, 'P'ressure, 'S'peed)
S *Size: (ID, OD, Height) - click here or here for sizing explanation:
ID: OD: HT:

T *Temperature: (of product being sealed):
°C °F

A *Application: Type of equipment - pump (rotary, reciprocating), valve, digester, mixer, etc:

*Application Action:
*Type of Equipment (pump, valve, mixer, etc.):

M *Media: (What material is to be sealed? - solvent, acid, caustic, abrasive?):

P *Pressure: Stuffing box pressure (actual operating pressure):

S *Speed in fpm (feet per minute) or rpm (rotations per minute):
FPM
RPM

*What factors are you trying to achieve?:

Parts Information
(Complete this area for a quote on specific parts)
Qty. Description/Part Number
Qty. Description/Part Number

Additional Information
Addtional Information About This Application:


 What is the best method to reply to your request?:
E-mail
Fax
Phone
Are you buying these seals now?:
Yes
No
Are you looking for...?:
When do you need these seals?:


When will you purchase?:
What is the target price you are trying to achieve?: How will you pay?:
Credit Card
Purchase Order
Wire Transfer

Drawing Attachments

To attach a drawing click browse, find the document on your computer and click open.

Once the form is complete, please click submit once. We will respond to you within 4 hours and 59 minutes or sooner.
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