Company Contact Information:

Name Email Phone Number

Application:

Gas Type:

Gas Flow: (capacity) btu/hr or scfh min max:

inlet gas pressure:

inlet and Outlet pipe sizes:

direction of flow:

manifold Pressure at high fire:

Pilot, Yes or No? (If Yes, capacity, pipe size, regulated pressure, orientation?):

high pressure switch (manual / auto, range, set point?):

low pressure switch (manual / auto, range, set point?):

is flow control needed on the gas train, yes or no?:

ventless or vented?:

end user location:

additional notes (voltage, prewire into a junction box?):