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Company Name

Department

Your Name

First name
Family name
Please select from the followingMr.Ms.Dr.

Title

Address

Country

Please select from the followingArubaAfghanistanAngolaAlbaniaAndorraUnited Arab EmiratesArgentinaArmeniaAmerican SamoaAntigua and BarbudaAustraliaAustriaAzerbaijanBurundiBelgiumBeninBurkina FasoBangladeshBulgariaBahrainBahamasBosnia and HerzegovinaBelarusBelizeBermudaBolivia, Plurinational State ofBrazilBarbadosBrunei DarussalamBhutanBotswanaCentral African RepublicCanadaSwitzerlandChileChinaCôte d’IvoireCameroonCongo, the Democratic Republic of theCongoCook IslandsColombiaComorosCape VerdeCosta RicaCubaCayman IslandsCyprusCzech RepublicGermanyDjiboutiDominicaDenmarkDominican RepublicAlgeriaEcuadorEgyptEritreaSpainEstoniaEthiopiaFinlandFijiFranceMicronesia, Federated States ofGabonUnited KingdomGeorgiaGhanaGuineaGambiaGuinea-BissauEquatorial GuineaGreeceGrenadaGuatemalaGuamGuyanaHong KongHondurasCroatiaHaitiHungaryIndonesiaIndiaIrelandIran, Islamic Republic ofIraqIcelandIsraelItalyJamaicaJordanJapanKazakhstanKenyaKyrgyzstanCambodiaKiribatiSaint Kitts and NevisKorea, Republic ofKuwaitLao People’s Democratic RepublicLebanonLiberiaLibyaSaint LuciaLiechtensteinSri LankaLesothoLithuaniaLuxembourgLatviaMoroccoMonacoMoldova, Republic ofMadagascarMaldivesMexicoMarshall IslandsMacedonia, the former Yugoslav Republic ofMaliMaltaMyanmarMontenegroMongoliaMozambiqueMauritaniaMauritiusMalawiMalaysiaNamibiaNigerNigeriaNicaraguaNetherlandsNorwayNepalNauruNew ZealandOmanPakistanPanamaPeruPhilippinesPalauPapua New GuineaPolandPuerto RicoKorea, Democratic People’s Republic ofPortugalParaguayPalestine, State ofQatarRomaniaRussian FederationRwandaSaudi ArabiaSudanSenegalSingaporeSolomon IslandsSierra LeoneEl SalvadorSan MarinoSomaliaSerbiaSao Tome and PrincipeSurinameSlovakiaSloveniaSwedenSwazilandSeychellesSyrian Arab RepublicChadTogoThailandTajikistanTurkmenistanTimor-LesteTongaTrinidad and TobagoTunisiaTurkeyTuvaluTaiwan, Province of ChinaTanzania, United Republic ofUgandaUkraineUruguayUnited StatesUzbekistanSaint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofVirgin Islands, U.S.Viet NamVanuatuSamoaYemenSouth AfricaZambiaZimbabwe

Phone

Fax

E-mail

URL of Your Company’s website

※Please fill in your company/organization link.

Ordered before?

NOYES

●Name of Person in Charge, if remembered

How did you hear about us?
(Multiple choices possible)

ReferralYahoo!gooGoogleMNS SearchOther Search EngineMatching SiteNC network@engineer

●If not found above, please write it below.

(1) Material type

(2) Wire diameter（φ）

(3) Wire pitch（m/m）

(4) Opening（m/m）

(5) Overall width（W）

(6) Overall length（L）

(7) Quantity

(8) Desired Delivery Time

(9) Usage

※Please full in an application if it's possible.

Special Instruction/Notes
(Fabricating requirements, etc., if
any)

Attachment

* Please type jpg, jpeg, png, gif, bmp, tiff, tif, pdf, doc, docx,
docm, ppt, pptx, pptm, odt, xls, xlsx, xlsm, txt.
The size of
the file is up to 3 MB per file, up to 9 MB in 3 files.

(1)Purpose of use

(2)GAS density

kg/m³

GAS flow rate

m³/Hr

(4)GAS pressure

kg/Cm³

(5)GAS temperature

℃

(6)GAS viscosity

Poise

(7)Molecular weight of GAS

(8)MIST density

kg/m³

(9)MIST concentration

-g/m³

(10)MIST viscosity

CP

(11)MIST diameter

μ

(12)MIST name

(13)Allowable pressure loss

mmAq

(14)Material

(15)Desired efficiency

*You can leave any unknown items blank.Please fill in only items
that can be understood.