Purge-Away Measurement Form
Company Name
*
(Required)
Contact Name
*
(Required)
Full Plant Address
*
(Required)
Contact Email Address
*
(Required)
Contact Phone Number
*
(Required)
Machine Name or ID#
*
(Required)
Machine Mfg. or Tonnage
Nozzle Diameter
*
(Required)
Standard or Insulated Design
*
Standard
Insulated
Barrel Circumferance Over Blankets (Standard)
Barrel Circumference Over Heaters (Insulated)
Standard or Custom Length
*
Standard
Custom Length
Length (If Custom)
Comment or Special Requirements
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