FLODAR - Filter Fitting Design Request Form

Filter Fitting Design Request Form

Please fill in the data pertinent to your application on this form and send to
Flodar Fluid Power Fittings.

*Denotes required fields

Name:	*
Company:	*
Title:	*
E-mail:	*
Address:	*
City:	*
State:	*
Zip:	*
Phone:	*
Fax:	*
Please Contact:	*

Fluid Description: *

Fluid Viscosity: *@: *°F

Filter: Filtration Rating: * Nominal Micron
Mesh

Material: *

Open Area: *

Collapse Pressure: *

Operating Conditions: Temperature: Max *°F
Min *°F

Pressure: Max *PSI
Oper *PSI

Pressure Drop: *PSI @ *
*PSI @ *
*PSI @ *

Maximum Flow Rate: *GPM

Valve Geometry: Straight     45° Elbow     90° Elbow     Tee     Cross

Filter Material:     Steel     Stainless Steel     Brass

Description of End Connections:
    A: *
    B: *
    C: *
    D: *

Filter Location:

SAE Standard Reference:   *

Additional Requirements:

Finish:
     Zinc & Dichromate
     Zinc & Clear Chromate
     Black Oxide
     Other (Please Specify)     *

Special Markings (in additon to Flodar logo):

Quantities:
    Estimate Annual Usage: *
    Order Quantity: *

Comments:

Verification Code:
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If you would prefer, you can PRINT this form and
MAIL it to Lube Devices, Inc.
1864 Nagle Avenue., P.O. Box 1810, Manitowoc, WI 54221-1810 - or
FAX it to 920-684-7210 - or
TELEPHONE us at 920-682-6877

1864 Nagle Avenue., P.O. Box 1810 Manitowoc, WI 54221-1810 Phone: (920) 682-6877 FAX: (920) 684-7210 http://www.lubedevices.com
Division of Lube Devices, Inc. http://www.hydra-tool.com	Division of Lube Devices, Inc. Home Page

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Fluid Description:	*
Fluid Viscosity:	@: °F
Filter:	Filtration Rating:	*	Nominal Micron Mesh
	Material:	*
	Open Area:	*
	Collapse Pressure:	*
Operating Conditions:	Temperature:	Max °F Min °F
	Pressure:	Max PSI Oper PSI
	Pressure Drop:	PSI @ PSI @ PSI @
	Maximum Flow Rate:	*GPM

Valve Geometry:	Straight 45° Elbow 90° Elbow Tee Cross
Filter Material: Steel Stainless Steel Brass
Description of End Connections: A: * B: * C: * D: * Filter Location:
SAE Standard Reference: *
Additional Requirements:
Finish: Zinc & Dichromate Zinc & Clear Chromate Black Oxide Other (Please Specify) *
Special Markings (in additon to Flodar logo):
Quantities: Estimate Annual Usage: * Order Quantity: *