Questionnaire
In order to provide you with a free quotation, we kindly ask you to fill in the following form. This information will help us to propose you the most adapted device to the environment conditions, the required capacity and to any other need.
Contact name :
Title :
Company name :
Address :
Country :
Phone :
Fax :
E-mail :
End (user) customer:
Main application :
industrial
medical
Precise :
Project :
Operation :
indoor
outdoor
Plant location :
(country, region)
Average humidity :
%
Average temperature :
°C
°F
Site elevation :
m
Required capacity :
Per hour :
Nm
3
/h
SCFH
Per day :
Nm
3
/h
SCFH
Required number of cylinder per day :
B50 of 7,5 Nm
3
/h at 150 bar
Number of cylinder currently consumed per day :
Oxygen output pressure :
120 bar
150 bar
200 bar
Production cycles per day :
8h.
2 x 8h.
3 x 8h.
Current cost of oxygen : (for comparaison purpose)
Per day :
Per month :
Average cost of
electricity :
(per Kwh)
Currency :
Usefull details :
(conditions, gaseous or liquid oxygen, O
2
concentration, etc.)
Your choice :
CPO line
CFO line
CNO line
CPO 06 EM - EP
CFO 06 EM - EP
CNO 06 EM - EP
CPO 12 EM - EP
CFO 12 EM - EP
CNO 12 EM - EP
CPO 18 EM
CFO 18 EM
CPO 25 EM
CFO 25 EM
Quotation terms :
Ex Works Liège
FOB Antwerpen (Anvers)
CIF
Other
Futher information :
Remarks :
Datas transmitted through this questionnaire will be kept in a confidential database.
This questionnaire has no binding nature.
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