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Kuri-Tec tubing and hose - Kuriyama of America

Kuri-Tec tubing and hose - Kuriyama of America

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®<br />

REQUEST A QUOTE FORM<br />

Company Pr<strong>of</strong>ile<br />

Company Name ____________________________________ Contact _________________________________________________<br />

Address _________________________________ City ________________ State ______________ Zip ______________________<br />

Phone _____________________________ Fax _______________________ E-mail ______________________________________<br />

Application Details<br />

Application ______________________________________________ What is being transported? _________________________<br />

Mostly Indoor Use o Outdoor Use o<br />

Solid o Liquid o Gas o<br />

Normal working pressure __________ psi @ _________ º F/C Is it hazardous? Yes o No o<br />

Max. working pressure __________________ psi @ ___ º F/C Food Grade? Yes o No o<br />

Development Details<br />

ID: _____________________ ” +/- __________________” Color: o Clear<br />

Required Approvals? _______________________________<br />

(NSF, USDA, 3A, IAPMO, etc.)<br />

OD: ____________________ ” +/- __________________”<br />

Wall:____________________ ” +/- __________________”<br />

o Translucent (Tint) Color: _________________<br />

o Opaque (Solid) Color: ___________________<br />

Cover Finish: Dull o High Gloss o <strong>Kuri</strong> <strong>Tec</strong> color acceptable o Color match required o<br />

Br<strong>and</strong>ing:<br />

o St<strong>and</strong>ard <strong>Kuri</strong> <strong>Tec</strong> Br<strong>and</strong>ing<br />

o Custom Br<strong>and</strong>ing – Message: _______________________________________________________________<br />

Packaging:<br />

Coils _____________________ft Boxes _____________________ ft Reels ___________________________ ft<br />

Cut Length ___________________________ ft/in Tolerance _____________________________________ ft/in<br />

Other: _____________________________________________________________________________________________<br />

Annual Volume: __________________________________ Release Quantity: _________________________________________<br />

It’s as easy as 1..2..3!<br />

1. Photocopy<br />

2. Complete<br />

3. Fax<br />

For U.S. Inquiries:<br />

For Canada Inquiries:<br />

Fax Numbers: (800) 800-0320 or (847) 885-0996 Fax Number: (519) 753-7737<br />

Please refer to the back page for the location <strong>of</strong> your nearest warehouse for availability <strong>of</strong> products/sizes shown.<br />

Because we continually examine ways to improve our products, we reserve the right to alter specifications OR DISCONTINUE PRODUCTS without prior notice.<br />

62 KKTCA0408

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