Online RFQ ("Request For Quote") Form

Please fill in the following form so that we at Glaco can assist you with your process requirements. You will receive a response from an Inside Sales Representative within 48 hours of submission.

Please note in the last field if this is a request requiring faster turnaround and/or shipment expediting.

If the field name is marked with an *, your input is required.

 

* Company Name:
* Contact Name:
* Email:
* Phone:
* Briefly describe your application in the space provided. Materials of construction requested? Industrial, Sanitary or Caustic Chemical application?
Media/Flow Info:
Flow Rate:
Inlet Pressure:
Outlet Pressure:
Inlet Temperature in Degrees F:

Specific Weight/Specific Gravity and/or Molecular Weight:

Line Size In:

Line Size Out:

Valve Type "wafer,lugged,flanged, NPT, etc":

Actuator Required? Pneumatic or Electric if "yes", and voltage:

Positioner Required? If "yes", please provide Input Signal and Area Classification (General Purpose NEMA 4, 4X, Ex-Proof or Intrinsically Safe?):

Accessories Required? (Switches, etc. If "yes" please designate how many and what voltage:


Date required on site:


Submit Drawings
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Any Additional Information?

 
      

Questions? Please email maryg@glaco.com or call 800.625.3339.

 

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