*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 Desired Flow Rate:
*Desired Mounting Orientation: Horizontal Vertical
*In non-energized state, valve should be: Normally-Closed (Acro's Standard) Normally-Open
*Are you interested in tube detection (this requires an analog sensor/dashpot setup)? Yes No
*Max. On-Time: *Cycle Rate Max: Per Min. Per Hour
Available Power Voltage:DC Amps: Note: Acro’s standard recommended power set-up is 24 DCV x 3 Amps. Please add any other application details that you think would assist us in specifying a valve:
SOLENOID DRIVER BOARD
Would you like Acro to supply a solenoid driver board?: Yes: No: Note: our 900R driver requires a 40-70 Watt trigger port and a 4-7 Watt hold.
Do you have any special requirements (i.e., voltage, single power source, etc.)? Yes: No:
If yes, then please indicate what type you prefer:
POSITION SENSING
Would you like an optional sensing accessory?: Yes: No:
Digital Hall Sensor
Power Available: Voltage Amps(Our standard recommended setup configuration is 24 DCV x 3 amps)
Analog Hall Sensor
Power Available: Voltage Amps
Micro Switch
Power Available: Voltage Amps Do you want to power another device? If yes, please describe:
NOISE CONTROL:
Poron Dampener Pad (our standard supplied, no charge)
Noise Reduction Module
CABLING & HARNESSING:
Do you require any custom cabling or harnessing? 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:
