Pinch-off Tool Application Form

Sun, 04/01/2012 - 16:00 — admin

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Name: *

Company Name: *

Address: *

City: *

State: *

Country: *

Zipcode: *

E-mail: *

Phone: *

Fax:

Material being used: *

ASTM# : *

Other:

Tubulation O.D. : *

Wall Thickness: *

Vacuum Range (TORR) : *

Pressure (PSI): *

Contaminants (I.D.) : *

Bake-out time: *

Temperature: *

Atmosphere: *

Number of devices being manifolded: *

Number of units to be pinched-off per day: *

Required stub length *

Any other details that you'd like to include:

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