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Engineering Request Form
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General Information:
Company Name *
  Customer Name *
  Email
  Phone
  Fax
  Sales Rep
  Date in Engineering
  Engineering Request Due Date
  JMS Part #
Inquiry Classification (check all that apply):
General Technical Assistance
Drawing Assistance / Review
Material Specification
Bid Technical Review
Other (please expain)
Process Physical Characteristics:
  Tnom (in Degrees Farenheit)
  Tmax (in Degrees Farenheit)
  Vibration (in g/Hz)
  Pressure (in psi)
  Vflow (in ft/sec)
Chemical Environment:
Oxidizing
Reducing
Inert
Vacuum
  Process Chemistry (5-31, 33, 34)
  Electrical Classification (6-16, 17; 8-23, 24)
* Required field
 

Thermocouple, Thermowell and RTD products from JMS