Request quote – CUSTOM-MADE HOSES « TUBIFLEX SpA

Request quote – CUSTOM-MADE HOSES

* The field OUTLINED IN RED are obligatory.

In case of any difficulty in filling out the required fields, please send an email to commerciale@tubiflex.com or contact us by phone.

General Information

Company name*
Address
Name and assignment*
Telephone*
E-mail*
Fax
BID reference
Applicable Standards or customer’s specifications, if any

Specific information

DN*
Quantity*
Delivery date requested
Total length mm
Type of hose

Design conditions

Should the following information be not available, we will take into account: fluid WATER, temperature +20°C , occasional movements, max pressure within the limits indicated in our catalogue.
Fluid*
Other
Design pressure bar*
Max design temp °C*
Minimum design temperature °C

End fittings

Fitting 1*
Other
Fittings 2*
Other

Accessories

Inner liner
External protection

Materials

Corrugated hose
Other/note
Fittings*
Other/note

Testing certificates

Testing certificates
Pressure test
Cleaned and degreased for oxygen
Material certificates according to EN10240 tipo 3.1
Inspections by third-parties
PED applicability
If not, specify reasons

Additional information

Environmental conditions, vibrations, static and dynamic offsets, requested markings, etc
If available, attach an installation diagram or other information
(max 10Mb)
I would like copy of this filled form to be forwarded to my e-mail address

Processing of personal data

Your information will be processed pursuant to the Italian Legislative Decree n. 196 dated June 30, 2003. Read the informative document on the processing of personal data.
I hereby consent to the processing of my personal data *

cforms contact form by delicious:days

page