Order / R.f.q. Form printable pdf download

Order / R.f.q. Form

ORDER / R.F.Q. FORM - 8” SIDE PORT PRESSURE VESSELS

Please fill and send it to your contact at BEL

P.O. / R.F.Q. Number:_________________

Customer name:_________________

1. NEW SYSTEM / EXISTING SYSTEM or Replacement, please provide details:______________

2. F/C PORTS CONFIGURATION: Please indicate side port requirement on each side of the vessel

(Mark the letter indicating port diameter in the box at each required port location)

A – 1.5”

B – 2”

C – 2.5”

D – 3”

E – 4”

(Ports with a diameter of 2.5”& 3” & 4” cannot be mounted in 90

from with any other port)

3. NUMBER OF VESSELS:________________________________

(Please use separate forms for each type in case of multi-type orders)

4. WORKING PRESSURE RATE (PSI): 300 / 450 / 600 / 1,000 / 1,200 / 1,500

5. NUMBER OF MEMBRANE ELEMENTS IN EACH VESSEL:______ (1,,,,,,8)

6. MEMBRANE BRAND AND TYPE:____________________________________________

7. CONFIRM TYPE: BEL8 - S (___________ X __________ ) - _________- ____________ M

# of ports

dia. of port

pressure

# of membranes

(Example: BEL8 - S(4 X 2.5”) – 1,000 - 7M)

8. PERMEATE PORTS OUTLET: 1.5” NPT male / 1.5” Victaulic grooved / 1” BSP female

9. ASME code SEC. X, RP stamped vessel: NO / YES

(please contact for pricing)

10. ADAPTERS OPTIONS: Two Standard adapters / Standard & Solid (blind) adapter

11. COLOR: Standard (white, RAL 9010) / Other_______ RAL number:_________ (contact for pricing)

Customer signature:____________________

Date:______________________

FOR DETAILS PLEASE VISIT OUR WEBSITE:

March, 2012

Order / R.f.q. Form