TRIVACO Application Data Quote Form

Use this form to get your application solution started quickly. Company Name, Contact Name, Email and Phone are required fields.

Please supply as much other information as possible. We have made this available online to our customers for convenience. If you prefer to fax the information, you can download the Application Data Quote Form (you will need the Adobe Acrobat Reader) and return it via fax to 513.697.9901. A representative will contact you at your request.

Contact Information
* Contact Name * Email Address * Company Name City * Phone State Fax Zip
Application Media Valve Size Pipe Size/Sch Pressure Temperature Other	Service On/Off Divert Throttling Control Zero Leakage Other
Media % Solids Norm Flow GPM Max Delta P SCFM Spec. Gravity Min Flow Viscosity Max Flow Density
Valves Quantity Valve Type Connections Class Shut-Off Material Actuator Choose Actuator Type Bare Manual Pnuematic Elec-Hydraulic Hydraulic D/A or S/R? Choose D/A S/R Available Air Fail Mode Electric Voltage Manual Override Tubing Stroke Speed Other	Limit Switch SPDT or DPDT? Choose SPDT DPDT Mech or Prox? Choose Mechanical Proximity Beacon Nema Rating Other Positioner Input Signal 3-15psi or 4-20mA? Choose 3-15 psi 4-20 mA Transmitter Limit Switch Nema Rating Solenoid 3 or 4 way? Choose 3-way 4-way Voltage Speed Control Nema Rating Min Cv Brass / SS

Notes:

Please click the Request Quote button (below) just one time to submit the above information. Because there is potentially a large amount of information, it may take a short time to complete. Please be patient. Thank You.