Request quote – SPLITCON HOSES « TUBIFLEX SpA

Request quote – SPLITCON 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*
Hose type

Design conditions

Should the following information concerning the project be not available, we will take into account: coolant gas, temperature -40°C +100°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
Other
Diagram of standard hose

End fittings

Terminal fittings A*
Terminal fittings B*

Accessories

Plugs
External protection

Testing - certificates

Testing - certificates
Pressure test
Material certificates according to EN10240 type 3.1
Other ... (specify)
Other indications for testing

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 *

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