If you have a RFQ please provide detail using the form below. Alternatively email directly to sales@hoseflex.com Customer:Company:Phone:(Required)Email: I. Specification InformationRequest Type Quote Order Would you like a quote or would you like to order?State/Branch(Required)QLDNSWVICSAWANTTASState where the order will be fulfilledQuote Ref #Purchase Order P.O.#Quantity:Date Required:Hose Type:Diameter:(mm)Length:Live Length or Overall Length(Required) Live Overall Unsure End Fittings (Type & Size for both ends)End #1- Size:Type:Material:End #2- Size:Type:Material:Liner Required: Yes No Special Fabrication Required Yes No Accessories Required Yes No Provide Special Fabrication Notes:Provide Accessories Detail:II. Application Information:(Upload a sketch of the installation and include all dimensions and motions of hose during application and any other considerations)Max. file size: 512 MB. Temperature (Assumption is 21°c for all)Media: Min.°cMax.°cEnvironment: Min.°cMax.°cMedia:(Assumption is the Media is compatible with all available materials)Max. Pressure (psi):Fluctuations None Pulsating Shock Max. Velocity (feet / second):(Assumption is Velocity is too slow to affect performance)Type of Motion: Static Dynamic Vibration (Assumption is Static)Application: Δ
