Page 62 - KT_Catalog

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Because we continually examine ways to improve our products, we reserve the right to alter specifications OR DISCONTINUE PRODUCTS without prior notice.
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KKTCA0408
Please refer to the back page for the location of your nearest warehouse for availability of products/sizes shown.
REQUEST A QUOTE FORM
Company Profle
Company Name _________________________________ Contact _ __________________________________________
Address _ _____________________________ City _ ____________ State _ ____________ Zip _ __________________
Phone ___________________________ Fax _ ____________________ E-mail __________________________________
Application Details
Application _ ________________________________________ What is being transported? ________________________
Mostly Indoor Use
o
Outdoor Use
o
Solid
o
Liquid
o
Gas
o
Normal working pressure __________ psi @ _ ______ º F/C
Is it hazardous? Yes
o
No
o
Max. working pressure _________________ psi @ __ º F/C
Food Grade? Yes
o
No
o
Required Approvals? _____________________________
(NSF, USDA, 3A, IAPMO, etc.)
Development Details
ID: ____________________ ” +/- _ _______________ ”
Color:
o
Clear
OD: ___________________ ” +/- _ _______________ ”
o
Translucent (Tint) Color: ________________
Wall:_ _________________ ” +/- _ _______________ ”
o
Opaque (Solid) Color: _ ________________
Cover Finish: Dull
o
High Gloss
o
Kuri Tec color acceptable
o
Color match required
o
Branding:
o
Standard Kuri Tec Branding
o
Custom Branding – Message: __________________________________________________________
Packaging:
Coils ___________________ ft Boxes ___________________ ft Reels _ ________________________ft
Cut Length __________________________ft/in Tolerance _________________________________ ft/in
Other: ____________________________________________________________________________________
Annual Volume: _ _____________________________ Release Quantity: _____________________________________
It’s as easy as 1..2..3!
1. Photocopy
2. Complete
3. Fax
Accufex Industrial Hose, Ltd.:
Fax Number: (734) 713-4190 • Toll-Free Fax: (866) 950-8006
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