Name*

Address

Title

Address

Company

City

Phone

State

Fax

Zip

E-mail*

Country

Please fill in as many fields as possible - manufacturer standard options will apply unless directed otherwise. To submit the form for the quickest quotation the fields marked with ( * ) should be completed.  N/A, vendor select or unknown are acceptable inputs.  If you have any questions, please contact KECO at 732-901-5900 or keco@optonline.net.

Type of unit required

Manufacturer (list any preference)

Model number (if known)

Quantity

*

Tag number - if required, list type & info

Fluid / Media

*

Temperature range - value and units

* * Please select Degrees F Degrees C

Dial size for thermometer

Material of construction for housing

Process connection

Please select 1/4" MNPT - Back 1/4" MNPT - Lower 1/2" MNPT - Back 1/2" MNPT - Lower 1/2" MNPT Adjustable angle Other - please list

Stem length / Insertion length

*

Stem / bulb diameter

* Please select 1/4" (standard for thermometer)) 3/8" (standard for switch) Other - please list

Thermowell

* Please select Yes, thermowell RFQ completed Yes, match to stem length listed No

Capillary length if remote mount

Please select Not applicable Yes

Switch point - req'd for switch

  Please select Not applicable Increasing Decreasing Unknown

Deadband for switch point (if known)

Switch area classification

* Please select Not applicable NEMA 3 NEMA 4/4X NEMA 7 IP 65 IP 67 Other - please list Vendor select based on process

Switch element - voltage and current rating, number of contacts