Quote Form: Nozzles - Delta Screens

Quote Form: Nozzles

Date

Interested In

Buy:

Quote:

Customer Name

First Last

Project Name

Company Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Material Type

Material Type (other)

Slot Opening

Slot Opening (other)

Overall Diameter OD (inches)

Screen Length (inches)

Overall Length OAL (inches)

End Connection Type

MNPT

FNPT

Connection Size (inches)

Quantity

Notes / Comments

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