Pressure / Temperature Transmitter Request Form

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. This form is used for both pressure and temperature transmitters and will have fields that do not apply is certain cases.  To configure temperature elements and thermowells please see our other  request forms.

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 and info
Fluid / Media to be measured *
Pressure range-value and units *
Output
Temperature range-value and units *
Material of construction for the body and process connection
Material of construction for the isolating diaphragm
Fill fluid
Housing material
Conduit entry size
Pressure connection
Temperature connection
Mounting bracket
Indicator / readout
Display units
Area classification

Comments / Other available information / special requirements, options or considerations.
Please list any ancillary equipment.
    For pressure transmitters - 2/3/5 valve manifold, tank mounted diaphragm, remote diaphragm seal with capillary tubing, calibration certificate, etc.
For temperature transmitters - Please complete the temperature element and thermowell RFQ if required

Thank you for contacting Keco Engineered Controls
1200 River Avenue Bldg. 3A   Lakewood, NJ 08701-5657
Phone: 732 901-5900 Fax: 732 901-5904
E-mail: keco@optonline.net Website: www.kecocontrols.com