Application Form Basic InfoFirst NameLast NameTitleCompany nameMailing AddressSuite NumberCityStateCountryZipArea Code and numExtArea code and faxEmail(valid email required)Process FluidNameProcess ConditionsLine SizePressureTempDensity/Specific GravityViscosityDescribe upstream piping conditionsMinimum flow rateMaximum flow rateAbrasiveYesNoSolidsYesNoIf solids, indicate percentApplicationMeasureMonitorControlMass balancePreferred Differential Primary ElementVenturiLo-Loss® Flow TubeFlow NozzleOrifice PlatePitot TubeOther - Please listPerformance criteriaAccuracy + or -Repeatability + or -Max permanent pressure lossMinimum differential List other technologies being consideredProject statusPlanningBudgetaryPurchase in 3 monthsPurchase in 6 monthsPurchase in 1 yearFollow upPlease call to discussPlease send literaturePlease have local rep callAdditional commentsThe color of grass is