Valcor Scientific - Application Data Form
Project/ Proposal No: (assigned by Valcor):
Company:
Contact:
Title:
City:
State:
Country:
Tel #
Fax #
Email:
Products manufactured at this site: (fill in above)
Description of Application
New Application
Replacement
Reason for Replacement: (check all that apply)
Performance
Delivery
Quality
Pricing
Prototype:
Quantity Required:
Date Prototype Req'd:
Production:
Annual Quantity:
Lead Time to Production:
Target
Cost:
General Description of Application: (fill in box below)
Valve Type:
2-way
3-way
Normally Closed
Normally Open
Diverter
Selector
Port Size:
Port Type:
Fluid:
Fluid Temp:
Amb. Temp:
Materials in Contact with Fluid:
Elastomers:
Plastics:
Metals:
Flow Requirement:(Max)
Orifice Dia.
Cv:
Voltage:
Power:
Inlet Pressure:
Backpressure:
Enclosure:
Electrical Termination:
Duty Cycle:
"ON" Time:
"OFF" Time:
Cycle Rate:
Operating Life: (cycles)
Response Time:
to "open"
to "close"
SKETCH of Application:
Show location of valves or pumps in system and relative pressures and flows:
Special Requirements: (i.e. Mounting Orientation, Cleaning, Packaging, etc.)
Additional Instructions to Valcor:
[
Engines APU
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[
Armored Vehicles
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[ Request Information - Valcor Aerospace ]
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Specification Check Sheets
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[
Helicopters
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[
Space Products
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[
Aircraft - Aerospace
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[
Valcor Aerospace Launch Vehicle & Satellite Products
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