	Valve Quotations Questionnaire

	Pneumatic Actuators Quotations Questionnaire

	Electric Actuators Quotations Questionnaire

Valve Quotations Questionnaire

Please complete the form in its entirety and click SUBMIT. It will be directed to our Customer Service department.

Contact Information

Date:
Date Required:
Contact:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
End User (or ID No.):
Is this quote for project:		estimate or purchase?
If a purchase, when will purchase be made?
Who is your DynaQuip Controls distributor?

Valve Information

1. Description: Ball Butterfly      Size: (In.)

2. Metallurgy: a) Body b) Disc/Ball trim

3. End Connections:

Socket weld

NPT

Flanged

SAE O-Ring Boss

4. If a Butterfly Valve, Lug (flanged) or Wafer style?

5. Application?

6. a) Operating temperature? (°F)

b) Operating pressure? (PSI)

7. What is the media going through the valve?

8. Corrosive environmental conditions?

9. Disc encapsulation, if required

EPDM

Buna-N

Teflon

10. Preferred seat material, if known

EPDM black or EPDM white

Nitrile

PTFE/Buna-N, Silicone

Viton

PTFE/EPDM

11. How will valve be operated?

Manual Handle

Gear Operator

Automatic Actuator

12. If the operator is to be an automatic actuator, what is the differential pressure across the valve(upstream pressure minus downstream pressure?)

(PSI.)

(This information is required to choose the proper actuator! If the differential pressure is unknown, the valve's full pressure rating will be used. This choice will always yield the largest and most costly actuator to be chosen.)

13. Whose valve is currently being used?

Model

Size

Metallurgy

14. Are there problems with its operation?


15. Are there special requirements
      (Seat/ Seal/ Performance/Fire-safe?)


If yours is an activated valve application, submit this form and continue to the electric or pneumatic actuator selection form.