*Date (mm/dd/yy):
* Organization:
*Contact:
*E-mail:
*Title:
*Tel:
*Address:
*City:
*State/Province:
*Postal Code:
*Country:
Customer Type: OEM End User Distributor / Agent
Market: Medical Bioprocessing Industrial Other
Web Search Engine:
Name
Customer / Partner Referral:
By Whom
Advertisement:
Pub Name
Trade Show:
Show Name
Website:
Which
*Tube Manufacturer or Brand Name:
*Tubing 1 Material: Size:*ID *OD *Durometer: (Shore A)
Tubing 2 Material: Size:ID OD Durometer: (Shore A)
*Fluid/Media: *Fluid/Media Temp. Range:– °F °C
*Fluid/Media Pressure or Vacuum Range: – PSI BAR (mm Hg)
*Are you applying a vacuum? Yes No Flow Rate:
Desired Mounting Orientation: Panel Base
In non-energized state, valve should be: Normally-Closed (Acro's Standard) Normally-Open
*Must valve open without tubing in place? Yes No
*Max. On-Time: *Cycle Rate Max: Per Min. Per Hour
Pneumatic Power Source: Air Gas *Pressure: PSI Bar
CONTROL VALVE NOTE: All of our pneumatic pinch valves require use with a pressure venting controller which is not supplied unless requested. We offer 3 and 4-way controllers as an accessory or customers can provide and source their own.
Do you need a control valve?: Yes: No:
If yes, then please indicate what type you prefer:
3-way 4-way Desired Voltage (AC/DC):
VALVE STATE SENSING
Would you like valve state sensing?: Yes: No:
Digital Hall Sensor
Output Type: (Acro's standard is NPN sinking output)
Power Available: Voltage Amps(Our standard recommended setup configuration is 24 DCV x 3 amps)
Analog Hall Sensor
Power Available: Voltage Amps
Micro Switch
(standard setup for digital hall is 4-24DCV x 5-15 mA, and for microswitch is 30 DCV x 5A maximums)
CABLING & HARNESSING:
Are there any special cabling, harnessing or plumbing requirements that you would like us to provide? Yes: No:
If yes, please specify the requirements:
SAFETY & REGULATORY CERTIFICATIONS:
Do you require any product safety or regulatory certifications that we need to be aware of? Yes: No:
If yes, please specify:
