Contact Information
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Company Name:  *
Phone Number:  *
Email Address:  *
My Company is a: 
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Service Conditions
(Please include units.)
Flow Rate: 
Flowing Media: 
Density: 
Specific Gravity: 
Operating Temperature:  *
Maximum Temperature:  *
Inlet Pressure:  *
Shutoff Pressure:  *

Valve Information
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Valve Size:  *
Valve Type: 
Valve Leakage: 
Seat Type: 
Bolting: 
Face to Face: 
Valve is for:  New Construction    Replacement

Additional Information
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7308 Driver Road / P.O. Box 380 / Berlin Heights, Ohio 44814
419-588-2066 / Fax 419-588-3310