REQUEST FOR QUOTATION

for Hydraulic & Pneumatic Cylinders

 

      You can print out our Quote Request Form and mail or fax it to us at your convenience. Adobe Acrobat Reader is required to view this form, as it is in pdf format. Adobe Acrobat Reader is freeware, and can be downloaded here.

Pdf gif

Quotation request form

The fields with a (*) must be filled out.

Date:

 

 

Contact(*):

Current supplier:

Tel(*):

Estimated Order Date:

Fax:

Estimated Total

 

E-mail(*):

Cylinder Potential:

 

Company’s name(*):

Address(*):
City, State, Zip code(*):

 

 

Quantity(*): Hydraulic(*) Pneumatic Other:

 

Bore diameter:

Application(*):

Rod diameter:

New product with new design(*)

Total stroke:

Existing product to be replaced with new identical product(*)

Working stroke:

Retrofit of existing product(*)

Normal working pressure(*):

 

Maximum working pressure:

 

 

Single acting(*)           or         Double acting(*)                    Telescopic

 

Cushioning:   None           Front           Rear

 

Maximum Working Loads(*): Pushing Force (extension):
  Pulling Force (retraction):

 

End cap(*): Welded / Mill Type Bolted connection Threaded
Tie rods Other: 

 

Front cap(*): Bolted connection Threaded Tie rods

Other: 

 

Rod End Attachment(*): Threaded rod end Single clevis With swivel

Other: 

 

Body Protection: One layer primer painting Two layers epoxy Three layers epoxy
Zinc coating Enamel Other:
     
Specific color: No Yes:

Following paint specfications/code:

 

No

 

Yes:

 

 

Mounting/Body Attachment(*):

 

Circular or rectangular

     end cap

End cap tie rods

     extended

End cap trunnion

Center trunnion

Circular or rectangular

     front head

Front head tie rods

     extended

Front head trunnion

End cap fixed clevis

 

Others:

 

Side lugs

Side tapped

 

 

Rod material: Standard Steel Stainless steel Other:

 

Rod protection: Chrome Nickel-chrome Nickel sulfamate

KERADOUCETM coating (corrosion, abrasion & impact resistant – recommended for harsh applications)

Other: 

 

Fluid type: 

 

Testing:        Standard (100 % Hydraulic test with Mobilarma fluid 778, class NAS 7 according to NAS 1638)
with Nitrogen with Other Fluid:

Other: 

 

Design code:

No

Yes: 

 

Assurance quality requirements:

 

Standard

 

Material certificates

 

Test report

Welding Specifications

 Other:

 

Third Party Inspection:

No

Yes. Third party name:

If yes:      Design only

Cylinders assembly and/or tests supervision

Design + supervision

 

Customer supervision of cylinders assembly and/or tests:

Yes

 No

 

Additional information / Special features:

 

 

© 2004 Douce-Hydro. All rights reserved.

Contact us