If you cannot complete some of the fields, don’t worry. We will contact you if we have questions. Additionally, if you do not have a company name, please write “N/A” in order for the form to be submitted.

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Company Name: *

Full Name: *

Address: *

Address (line2):

City: *

State/Province: *

Zip/Postal:

Country: *

Email: *

Phone: *

Fax

Contact me by:    Email   Phone   Fax

Country where this equipment will be used:

 

Application

Describe use and/or application:

 

Chamber Specifications

Form (shape):    Round   Cube   Custom

Size (Round Chambers):

If custom round, please specify ( _ ID x _ Deep):

Size (Cube Chambers):

If custom cube, please specify ( _ W x _ H x _ D):

 

Chamber Material:

Note: Our standard cube chambers are Aluminum with Acrylic doors

Body Material:    Stainless steel   Aluminum   Acrylic

Door Material:    Stainless steel   Aluminum   Acrylic

 

Additional Specifications:

Operational Vacuum:    Torr   Bar   Inches Hg

Operational Vacuum Value:

Pump System Required:    Yes   No

Additional Pump Specifications (oil-free, for corrosive gasses etc.):

Features Needed:    Cart   Heated   Cooled   Shelves   Mixer  

Other:

 

Feed-thru Specifications (optional):

Feed-thru types:
 Electrical   Liquid/Epoxy   Hermetic   Mechanical   Mechanical - Linear   Mechanical - Rotary  

 Optical   Other  

Is there anything else that you think we need to know before we start your quote?:

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