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Base Mount Name: Job Title: Company: Address: City: State: Zip: Telephone: Fax: Email: Please send a drawing of the cylinder and the apparatus to which it amounts, if available. Attach a Drawing:   Quotation Information Quantities: Prototype Quantity: Product is for: New Existing Product Line Annual Usage: This Year: Next Year: Rod Mount
Bore Diameter (inches): Stroke Length (inches): Cylinder Type --Please Select One-- Double Acting Single Acting Displacement Push Load: lbs. Operating Pressure --Please Select One-- 1500 PSI 2500 PSI 3000 PSI Shock Load No Shock Load Other: PSI Rod --Please Select One-- Plain Female Thread Male Thread Cross Hole Self Aligning Rod Eye Cross Tube Bearing I.D.: Tube I.D.: Tube length: Bottom Mount --Please Select One-- None Rear Flange Front Flange Tapped Hole Blind End Tang Mount Clevis Mount Pineye Describe Application	Ports SAE O-Ring: NPTF: Fluid Petroleum Based Hydraulic Fluid Other Cylinder Speed & Frequency Feet per Minute: System G.P.M.: Cycles per Hour Day Month Space Limitations Cylinder O.D.: Cylinder Length: Interchangeable With: Other: Rod Seal Style Standard Loaded U-CUp Standard D Type Wiper Other: Piston Seal Style Standard Glass Filled Teflon Cap with O-ring Energiser Other: Finish Paint Color: Red Oxide Primer No Paint * Cylinders Painted Black Gloss Unless Otherwise Specified.