TWINLOCK Quotation Request

Contact First Name*

Contact Last Name*

Title

Company*

Street Address*

City*

State*

Zip*

Phone*

Fax

Email*

Quantity*

Pipe Diameter O.D. (inch*)

Pressure Class (#)*

Design Code

Design Factor

Design Pressure (p.s.i.g.)

Design Temp. (degree F, max/min) /

Corrosion Allowance (inch)

Hydrostatic Test Required Yes No

Orientation Horizontal Vertical

Hinge Left Right

Vessel Type Trap Vessel

Seal Material

If Other:

Vessel Product

Paint Standard Primer Paint Spec

Impact Test Req. (max temp & energy values)

Carbon Equivalent Requirements

Extra Seal Kits Reqired (qty)

Additional Requirements

How Did You Hear About Us*