Hargraves - Advanced Fluidic Solutions

APPLICATION REQUIREMENTS - VALVES

Hargraves Technology Corporation wants to make your solenoid valve search and selection easy for you. We ask that you complete the form below with as much information as possible. Our Application Engineers will evaluate your requirements and match the correct Hargraves solenoid valve for your application. Upon completion of this form, Hargraves will contact you within two business days with a recommendation or with any further questions we have about your application. We look forward to learning about your application in effort to earn your business.

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COMPANY INFORMATION

Company Name:*		Title:
First Name:*		Last Name:*
Telephone:*		Ext:
Fax:		Email:*
Mailing Address		Shipping Address (if different)
Address:*		Address:
Mail Stop:		Mail Stop:
City:*		City:
State/Province:*		State/Province:
Postal Code:*		Postal Code:
Country:*		Country:
Website Address:

APPLICATION

Industry / Market:*
Type of Equipment :
Project Name / Number :
Pneumatic Schematic Available :	Yes NO
Media Type :
Application Description :

VALVE PERFORMANCE

Max Operating Temperature:	ºF ºC	Response Time:	milliseconds
Life Requirement :

Valve Specifications
	Specification 1	Specification 2	Specification 3	Specification 4
Type: (more info)
Voltage:
Pressure:
Vacuum:
Flow Requirement :
Power Limit :
Pin/Wire Configuration : (more info)
Quantity in System :
Media:
Duty Cycle :

Special Requirements / Notes:

PRODUCTION INFORMATION
Estimated Production Date	Estimated Production Quantities	Current Valve Used
Pilot Run: Full Production: Target Cost / Qty:	Pilot Run: 1st Year: 2nd Year:	Manufacturer: Model: Cost: