RFQ Form

Formulaire Demande de devis

Veuillez remplir les informations ci-dessous pour soumettre votre DDP. Les champs marqués d'un * sont obligatoires.

Nom de l'entreprise * *
Demand� par (entrez le nom complet) **
Adresse e-mail * *
Phone *

Directeur r�gional des ventes *
Regional Sales Manager *
Detailed Project Name *
Project Phase # (if applicable)
Project Location *
Project Bid Date *

YYYY-MM-DD
Quote Required By *

YYYY-MM-DD
Project Installation Date (estimated) *

YYYY-MM-DD
Application *

Basic description of what is required* i.e. freeze prevention, chilled water, hot water (include specification and design temp if available/applicable)
Application Type *
Pipe Type(s) *
Pipe Sizes & Pipe Quantities (including fittings) *

(1) Size: / Quantity:

(2) Size: / Quantity:

(3) Size: / Quantity:

(4) Size: / Quantity:

(5) Size: / Quantity:

(6) Size: / Quantity:

Please fill out up to 6 inquiries of Pipe Size & Quantity (including fittings)
How Pipe and Fittings are joined *
Pipe Supplier *
Insulation Thickness

Optional - GF Urecon can determine if not known. Standard is 2".
Jacket Material

Optional - GF Urecon can determine if not known
Jacket Thickness

(Optional - GF Urecon can determine if not known)
Number of Heat Trace Conduits

(Optional - GF Urecon can determine if not known)
Is Heat Tracing required? * Yes No