Request for Quote Form


Please answer as many questions as possible so that a Bertrem Valve representative will be better equipped to serve you. We look forward to doing business with you. Note: * indicates required information


First Name*


Last Name*


Title


Company*


Address


Address line #2


City


State


Zip


Country


Phone*


Fax


Email*


Valve Questions

1. Pipeline size(s)


2. Type of end connection






3. Flow medium/media


4. Valve Trim (If known), please list that here


5. Normal operating pressure(s)


6. Max possible pressure(s)


7. Minimum and maximum temperatures
Flow Medium/Media


Environment


8. Anything else we need to know about environmental conditions (corrosive fumes, etc)


9. Are there any valve codes that have to be met? (ANSI, API, etc)


10. Are there any required codes for the actuator(s)?


11. What type of actuation?






12. If automated, what will the control signal be?


13. If electric actuator, what power is available?


14. Anything else you want to tell us about your application?


Please Enter the Security Code Below
to send us your message.


Thank you for your inquiry.
A Bertrem Application Engineer will contact you within 1-2 business days.