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: *


Country: *

Email: *

Phone: *


Contact me by:   Email  Phone  Fax

Country where this equipment will be used:



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  



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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