Please fill out as much of the form below and submit for a custom quotation. You will receive an email copy of your submission for your records.
Or if you prefer to print, fill out, and fax the inquiry questionnaire, please click on the button to download a PDF of the inquiry questionnaire.

Type 62 Liquid-Liquid Coalescer Inquiry Questionnaire

Fields with an "*" are required.

Contact Information

Address
City
State/Province
Zip/Postal
Country

Specifications

Continuous phase
Dispersed phase
PH
Specific gravity
Viscosity
PH
Specific gravity
Viscosity
(if known)
PPM of dispersed phase
micron size and larger of solid particles
(if known)
(if known)

Special Requirements