New Application Data Sheet

Company:  Your Name:

Street Address or P.O. Box:

City State Zip:

Telephone:    Fax:  E-mail:

Job Function or Department:

This Application is:		New   Existing
Product Desired is:		Pleated Filter Media              Filter Cartridge   Other
Application is:		Air Liquid
Flow Direction is:		Inside-out Outside-in
Flow Rate Required is:		CFM GPM

Filter Efficiency Required:	% reduction of micron particles
Description of Application:
Proposed Filter Media:

 

Cartridge Dimensions and Specifications:
O.D.:		Media Width:
I.D.:		Number of Pleats:
Height:		Depth of Pleat:

End Cap Type:
Annual Quantity Required:
Additional Information:
Drawings and/or samples are helpful. The information provided will be handled in strict confidence.