Application Data Sheet Application Data Sheet Date Contact Information Company Name Address Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Contact Name Contact Title Email Address Phone Number Fax Number Basic Information Application Quantity Target Price Date Required For Quote Date Required For Union Number of Passages If Other, List Center Hole Required? Yes No Center Hole Size Port Information Port/Passage #1 Port Size & Type Passage Operating PSI Maximum Flow GPM Flow Fluid Type Port/Passage #2 Port Size & Type Passage Operating PSI Maximum Flow GPM Flow Fluid Type Port/Passage #3 Port Size & Type Passage Operating PSI Maximum Flow GPM Flow Fluid Type Port/Passage #4 Port Size & Type Passage Operating PSI Maximum Flow GPM Flow Fluid Type Port/Passage #5 Port Size & Type Passage Operating PSI Maximum Flow GPM Flow Fluid Type Port/Passage #6 Port Size & Type Passage Operating PSI Maximum Flow GPM Flow Fluid Type Port/Passage #7 Port Size & Type Passage Operating PSI Maximum Flow GPM Flow Fluid Type Port/Passage #8 Port Size & Type Passage Operating PSI Maximum Flow GPM Flow Fluid Type Port/Passage #9 Port Size & Type Passage Operating PSI Maximum Flow GPM Flow Fluid Type Port/Passage #10 Port Size & Type Passage Operating PSI Maximum Flow GPM Flow Fluid Type Additional Information Port Connection National Pipe Thread Fine O-Ring Boss Split Flanged Other (Described)Other (Described) Spool porting Spool end Spool radial Port end of spool is Face up Face down Preferred radial orientation and number system of the case ports 180° apart alternatively 90° apart or spiraled around the case evenly Describe the frequency of any spike pressures Max Fluid Temperature (F°) Max Revolutions Per Minutes (RPM) Maximum Ambient Operating Conditions (F°) Minimum Ambient Operating Conditions (F°) Is mounted unit protected from rain, snow, dirt, etc.? Yes No Special Coatings or Requirements Mounting Case Rigid and Spool Floats Case Floats and Spool Rigid Mounting and Anti-Rotation Preferences Mounting ears Mounting flange Anti-rotation mounting stud Threaded mount Max diameter of space for case outside diameters Max overall length allowed Can the mounting flange and/or anti-rotation mounting ear be larger than the diameter? Explain. Attach sketch File Upload Drop a file here or click to upload Choose File Maximum upload size: 2.1MB Features Include the following features Contamination Exclusion Seal and Grease Zerk purge Secondary end weep seals (External protection for seal wear seepage) Weep page (case or spool ported) Other If other, describe # of Electrification Channels Voltages Amperage Wiring or cable length Plug requirements Additional Comments If you are human, leave this field blank. Submit For a downloadable PDF of our Application Data Sheet, please click here.