Pressure / Temperature Recorders Request Form

Fill out the form below and price and delivery will be confirmed to you within the same day.

Company Name:
Contact Name:
Address:
State:
Zip:
Phone:
Email:
Quantity:
Preferred Model Type:	8" Recorder 12" Recorder
Mounting Type:	Portable (with handle and stand) Pipe-Mount Wall Mount

Ranges Required

	Range (example 0-1000 PSIG, 0-150 Degs F, 0-30,000 etc.)	Units of Measure (PSIG, BAR, DEG's F, DEG's C, etc.)
Pen #1
Pen #2
Pen #3

Chart Drive Type:	Multi-speed Standard Battery Operated Chart-drive Mechanical Wind-up Drive - Rotation Needed:
Chart Paper:	Range(s) needed: Rotation needed: (for example: 24 hour, 7-day, 1 hour, etc.)
Recorder Options:	New Model Reconditioned Model
Special Requirements or Questions:
If you have any questions please call (661) 670-0645. Thank you for your inquiry!