INSTRUCTIONS: Please allow yourself 10-15 minutes to fill out the quote form in its entirety. This will allow us to promptly generate an estimate for your exact application & needs. If you are just looking for more information or need to ask a quick question about our products or services, please click here to proceed to our general inquiry form. Thanks!

STEP ONE -General Information

COMPANY	INQUIRY TYPE
	Select One ---> Firm Quote Eng. Estimaate

CONTACT NAME	PROJECT

ADDRESS	CITY

STATE	ZIP/POSTAL CODE	COUNTRY
Select State ---> Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

PHONE	FAX

EMAIL ADDRESS	DATE REQUIRED BY

STEP TWO - Valve / Driven Equipment Data

QUANTITY	SIZE	BRAND / MFR.

VALVE PROVIDED BY
Select One ---> Flow-Quip Customer Existing in Field	*Please provide Top works drawing or Serial # if existing. SERIAL #:

CLASS
ANSI:	AWWA:	Max DP:

ROTARY 90 DEGREES			LINEAR
Select One ---> Damper Ball Plug Butterfly Other			Select One ---> Through Condiut Gate Valve Wedge Gate Valve Orbit Ball Valve Globe Valve Other
TORQUE			THRUST
ROTARY TORQUE:	UNIT:		LINEAR THRUST:	UNIT:

STEP THREE - Actuator Data

OPERATION
Select One ---> Double Acting Spring Return	*Please provide stored strokes with no electricty (Open to Close = 1 stroke), if required. STROKES:

CONTROL TYPE (*SELECT ONE)

ON/OFF (OPEN/CLOSE) *Continue Below!		MODULATING *Continue Below!
CONTROL SIGNAL		DUTY CYCLE
Select One ---> 24 VDC 120 VAC Dry Contact OTHER:		Select One ---> 25% 50% 75% 100%
		INPUT SIGNAL
		Select One ---> 4-20ma 20-4ma 1-5VDC 2-10VDC 0-10VDC OTHER:
		OUTPUT SIGNAL
		Select One ---> 4-20ma 20-4ma 1-5VDC 2-10VDC 0-10VDC OTHER:

FAIL POSOTION

Select One ---> Open Close Fail in Place

FAILURE MODE	OPERATING SPEED RANGE
Select One ---> Loss of Power Loss of Control Signal None OTHER:	OPENING TIME SEC: ADJUSTABLE
	CLOSING TIME SEC: ADJUSTABLE

MANUAL OVERRIDE	LIMIT SWITCHES
Select One ---> Yes No	Select One ---> 2-SPDT 4-SPDT 2-DPDT OTHER:

AMBIENT CONDITIONS
TEMP MIN: TEMP MAX:	BLOWING SAND JUNGLE
DEGREES F° OR DEGREES C°	CORROSIVE ATM TYPE:
COMMENTS:

ELECTRICAL POWER AVAILABLE FOR ACTUATOR (*SELECT ONE)
AC *Continue Below!		DC *Continue Below!		SOLAR *Continue Below!
1 PHASE		VOLTS & AMPS		SOLAR POWER SUPPLY
Volts Hz		Volts Amps		Select One ---> Flow-Quip Customer
3 PHASE				HOURS OF SUNLIGHT A DAY
Volts Hz
				BATTERY BACKUP
				Select One ---> Yes No
				DAYS OF BATTERY AUTONOMY

ELECTRICAL CLASSIFICATION
Select One ---> NEMA 4 Weatherproof NEMA 4X Corrosion CL 1 DIV 1 GP D CL1 DIV 2 GP D	OTHER:

STEP FOUR - Accessories

SERVICE CONTROL SIGNAL
OPEN/CLOSE/REMOTE SELECTOR SWITCH	4-20ma BATTERY VOLTAGE SIGNAL
VALVE RESET *Must be pressed before re-opening of valve	4-20ma SOLAR VOLTAGE SIGNAL
LOW HYDRAULIC FLUID LEVEL ALARM	LOW HYDRAULIC PRESSURE ALARM
KEY OPERATED SWITCH FOR:	POWER FAILURE ALARM
OTHER: