Filter Request Form

Thank you for taking the time to request more information from Valin. Please fill out the form below. If your browser doesn't support forms, please e-mail your question to moreinfo@valin.com. You may also contact us by phone, fax, or mail.

* denotes required information.

Customer Information

Company Name: * Contact Name: * Street Address: * Email: * City/State/Zip: *** Phone: * Industry: Select One Aerospace Air, Soil and Water Quality Services Amusement and Recreation Services Analytical and Instrumentation Architecture/Engineering Biotech/Pharmaceutical Chemicals and Allied Products Construction Durable Goods, Resellers Educational Institutions Electric and Gas Utilities Fabricated Metal Products Food, Beverage and Related Products Machinery, Except Electrical Medical and Other Health Services Metal Mining Miscellaneous Manufacturing Industries Oil & Gas Extraction Production/Pipeline Paper, Pulp and Wood Products Petroleum Refining and Coal Products Plastic and Rubber Products Research/Testing Semiconductor/Microelectronics Stone, Clay and Glass Products Transportation Water Treatment and Sanitary Services Other* Fax: *

Filter Application Data

Fluid & Particle Description:   Particle Size Range:   Flow Rate:   Temperature:   System Pressure:   Maximum Initial Pressure Drop:

Current Filter - For Existing Applications

Manufacturer:   Part Number:   Approximate Annual Usage:

Current Filter Housing - For Existing Applications

Manufacturer:   Part Number:   Approximate Annual Usage:

Please explain any special requirements needed for your application: