REQUEST OF QUOTATION FORM
NOTES: The fields marked with (*) must be necessary filled in 
CUSTOMER INFORMATIONS 

 COMPANY NAME:

 *

 CONTACT PERSON:

 *

 ADDRESS:

  
 CITY: *
 PROV.:    
 ZIP CODE:       
 COUNTRY:       
 PHONE: *
 FAX: *
 E-MAIL: *


PROCESS DATA

 LIQUID:

 *

 
 VISCOSITY: * mPa.s
 DENSITY:     Kg/dm3
 MIN. FLOWRATE: * m³/h  
 OPERATING FLOWRATE: * m³/h
 MAX. FLOWRATE:  * m³/h  
 MIN. PRESSURE:    bar
 OPERATING PRESSURE:    bar
 MAX. PRESSURE: * bar
 MIN. TEMPERATURE:    °C 
 OPERATING TEMPERATURE:    °C 
 MAX. TEMPERATURE: * °C
 POWER SUPPLY:   220V AC      24V DC      OTHER  
 ELECTRICAL CLASSIFICATION :   INTRINSECALLY SAFE  EXPLOSION PROOF OTHER  


PD FLOWMETER SPECIFICATION

 PLANT:  
 TAG:   
 MODEL:  
 QUANTITY:  
 SIZE: *
 FLANGES: * ANSI     UNI 2223/29      OTHER  
 FLANGES RATING: * 150 RF  300 RF  600  RF  OTHER  
 OUTER HOUSING MATERIAL: * ST. ST.  CARBON ST.  OTHER 
 INNER HOUSING MATERIAL: *

CAST IRON    ST. ST.  OTHER 
 FLOW DIRECTION: *

L/R         R/L         D/U         U/D
 ACCURACY: *  ± 0,2% OF READING  ± 0,5%  OF READING OTHER 


ACCESSORIES

 MECHANICAL COUNTER:  

 NON RESET TOTALIZER     RESET TOTALIZER
 ELECTRONIC COUNTER:  
 PRESET:  
 TEMPERATURE COMPENSATOR:  
 PULSE TRANSMITTER:  

1 PULSE./ LITRER  1 PULSE/10 LITER OTHER 
 4 ÷ 20 mA OUTPUT:  
 PROTECTION STRAINER:  
 SCREENER:  

80 MESH        200 MESH        OTHER 
 AIR ELIMINATOR:  
 DEAREATOR:  
 OTHER:  


NOTES AND OTHER REQUESTS