Regulator Quote Request

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Contact Details

Please complete First name*

Please complete Last name*

Please use a valid email address Email address*

Please complete Company name*

Please complete Account number (if known)

Please select How many unique regulators are you looking to receive a quote for? (If more than 6, please select 1 from the dropdown and add further info at the end of the form)*

Regulator #1

Please complete Product code of gas cylinder to connect to regulator (e.g. 270050-L)

Please select Gas type

Please complete Required quantity*

Please complete What is the maximum cylinder pressure (inlet pressure) you require for the regulator? (leave blank if product code added above)

Please complete What is the maximum working pressure you require for the regulator? (barg)

Please select What type of inlet is required for the regulator? (leave blank if product code added above)

Please select What type of outlet is required for the regulator?*

Please select Single-stage or Two-stage? (please state your preference)*

Please complete Do you require any further regulator features or characteristics?

Regulator #2

Please complete Product code of gas cylinder to connect to regulator (e.g. 270050-L)

Please select Gas type

Please complete Required quantity*

Please complete What is the maximum cylinder pressure (inlet pressure) you require for the regulator? (leave blank if product code added above)

Please complete What is the maximum working pressure you require for the regulator? (barg)

Please select What type of inlet is required for the regulator? (leave blank if product code added above)

Please select What type of outlet is required for the regulator?*

Please select Single-stage or Two-stage? (please state your preference)*

Please complete Do you require any further regulator features or characteristics?

Regulator #3

Please complete Product code of gas cylinder to connect to regulator (e.g. 270050-L)

Please select Gas type

Please complete Required quantity*

Please complete What is the maximum cylinder pressure (inlet pressure) you require for the regulator? (leave blank if product code added above)

Please complete What is the maximum working pressure you require for the regulator? (barg)

Please select What type of inlet is required for the regulator? (leave blank if product code added above)

Please select What type of outlet is required for the regulator?*

Please select Single-stage or Two-stage? (please state your preference)*

Please complete Do you require any further regulator features or characteristics?

Regulator #4

Please complete Product code of gas cylinder to connect to regulator (e.g. 270050-L)

Please select Gas type

Please complete Required quantity*

Please complete What is the maximum cylinder pressure (inlet pressure) you require for the regulator? (leave blank if product code added above)

Please complete What is the maximum working pressure you require for the regulator? (barg)

Please select What type of inlet is required for the regulator? (leave blank if product code added above)

Please select What type of outlet is required for the regulator?*

Please select Single-stage or Two-stage? (please state your preference)*

Please complete Do you require any further regulator features or characteristics?

Regulator #5

Please complete Product code of gas cylinder to connect to regulator (e.g. 270050-L)

Please select Gas type

Please complete Required quantity*

Please complete What is the maximum cylinder pressure (inlet pressure) you require for the regulator? (leave blank if product code added above)

Please complete What is the maximum working pressure you require for the regulator? (barg)

Please select What type of inlet is required for the regulator? (leave blank if product code added above)

Please select What type of outlet is required for the regulator?*

Please select Single-stage or Two-stage? (please state your preference)*

Please complete Do you require any further regulator features or characteristics?

Please complete Any questions or additional information?

Please complete captcha challenge

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