Request for Product Quotation

Complete the form below to request a quote. Please allow 2 -3 business days for processing.

*Required Information
Contact and Bid Information
First Name*
Last Name*
Company Name*
Location / Branch Number*
Contact Phone*
Email*
Project Name*
Bid Date*
Bid Type*
Domestic*
Product Information
Number of products*
Product
Product Number*
Quantity*
Please enter a number greater than or equal to 1.
Type of Pipe*
Pipe Size*
Pipe O.D.*
If transition or reducing, provide second type of pipe below:
2nd Type of Pipe
2nd Pipe Size
2nd Pipe O.D.
For Tapping Products standard design parameters: 150PSI W/P, Water/ Similar Line Content at Ambient Temp - if other, provide information below
For Tapping Product Provide Outlet Size/Type
Other Outlet Size/Type
Working Pressure
Test Pressure
Line Content
Content Temp F
Coating
Hardware
Other Coating
Other Hardware
Gasket
Restraint
Other Gasket
File
Max. file size: 50 MB.
For custom repair product, describe damage to be repaired.
Product 2
Product Number*
Quantity*
Please enter a number greater than or equal to 1.
Type of Pipe
Pipe Size
Pipe O.D.*
If transition or reducing, provide second type of pipe below:
2nd Type of Pipe
2nd Pipe Size
2nd Pipe O.D.
For Tapping Products standard design parameters: 150PSI W/P, Water/ Similar Line Content at Ambient Temp - if other, provide information below
For Tapping Product Provide Outlet Size/Type
Other Outlet Size/Type
Working Pressure
Test Pressure
Line Content
Content Temp F
Coating
Hardware
Other Coating
Other Hardware
Gasket
Restraint
Other Gasket
File
Max. file size: 50 MB.
For custom repair product, describe damage to be repaired.
Product 3
Product Number*
Quantity*
Please enter a number greater than or equal to 1.
Type of Pipe
Pipe Size
Pipe O.D.*
If transition or reducing, provide second type of pipe below:
2nd Type of Pipe
2nd Pipe Size
2nd Pipe O.D.
For Tapping Products standard design parameters: 150PSI W/P, Water/ Similar Line Content at Ambient Temp - if other, provide information below
For Tapping Product Provide Outlet Size/Type
Other Outlet Size/Type
Working Pressure
Test Pressure
Line Content
Content Temp F
Coating
Hardware
Other Coating
Other Hardware
Gasket
Restraint
Other Gasket
File
Max. file size: 50 MB.
For custom repair product, describe damage to be repaired.

Request for Product Quotation

Contact and Bid Information

Product Information

Product

Product 2

Product 3

Product Information Resources