CONTACT INFORMATION
Name:  
Company:  
Mailing Address:  
Phone:  
E-mail:  
Application Description (system type, fluid etc.):  
Program Description (initial quantity, time frame, program quantity, schedule etc.):  
Pressure Range:   to    PSI or Other
Proof Pressure: PSI or Other 
Accuracy: + -    % of Full Scale or + -  PSI
Case Diameter: (in inches)  
MATERIALS
CASE:
FITTING:
BOURDON COIL:
CRYSTAL:
DIAL:
 
SPACER:
 
BACKPLATE:
DESIGN CRITERIA
BURST PRESSURE: PSI Minimum or
VIBRATION: Meets the requirements of (specify)
SHOCK: Meets the requirements of (specify)
WEIGHT: Pounds Maximum
OPERATING TEMPERATURE RANGE: - F to + F or
FLUID MEDIA: (specify)
ENVIRONMENTAL: Meets the requirements of (specify)
OTHER: (specify)
FEATURES
FITTING
STYLE: 




FITTING
LOCATION: 



FITTING
THREAD
SPECIFICATION:
DIAL MARKINGS:
Dial Background Color: Major Hash Marks At:
Numeral/Character Color: Intermediate Hash Marks At:
Numerals At: Minor Hash Marks At:
SPECIAL DIAL MARKINGS:
Customer Logo:
QED/inc. Part Number:
Customer Part Number:
Color Bands:
(Please provide drawings or art)
POINTER COLOR:
 
DAMPENING POST:
NAMEPLATE:
(Chrome Mylar with black characters)
CRYSTAL SEALANT:
BACKPLATE ADHESIVE:
BLOW OUT SEAL:

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