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Given Name
Last Name
Job Title
Company
Address
 
 
Post / Zip Code
E-Mail
Phone
Fax Number
Your Country
Your Production Type:
Specific Area of Interest

Glass
Glass Type:
Glass Colour:
Gas
Gas Type:
Gas Calorific Units: per KJ/m3
Nett Calorific Value: KJ/m3
Electrical
Single Phase Vac
Three Phase Vac
With a Neutral wire? Yes No
Frequency Hz
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Working End Title
Working End Type:
Heating Type:
Working End Pull (Max) Metric Tons (tonnes) per day
Working End Pull (Min) Metric Tons (tonnes) per day
Throat Temperature (Max Pull) oC
Outlet Temperature (Max Pull) oC
Throat Temperature (Min Pull) oC
Outlet Temperature (Min Pull) oC

Note: Please ensure all fields coloured red are filled in
Include Channels: Yes No
Channel Material:
Include Insulation Bricks: Yes No
Include Supporting Steelwork: Yes No
Include Casings: Yes No
Gas Combustion Only
Include Gas Safety Equipment: Yes No
Include Burner Manifold Assemblies: Yes No
Include Pipework: Yes No
Include Combustion Air Panel: Yes No
Include Mixer Regulator Assemblies: Yes No
Include Burner Nozzles: Yes No
Other Comments:
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Note: Please ensure all fields coloured red are filled in
Forehearth 1 Title
Forehearth Type:
Heating Type:
Forehearth Pull (Max) Metric Tons (tonnes) per day
Forehearth Pull (Min) Metric Tons (tonnes) per day
Inlet Temperature (Max Pull) oC
Outlet Temperature (Max Pull) oC
Inlet Temperature (Min Pull) oC
Outlet Temperature (Min Pull) oC

Note: Please ensure all fields coloured red are filled in
Include Channels: Yes No
Channel Material:
Include Insulation Bricks: Yes No
Include Supporting Steelwork: Yes No
Include Casings: Yes No
Gas Combustion Only
Include Gas Safety Equipment: Yes No
Include Burner Manifold Assemblies: Yes No
Include Pipework: Yes No
Include Combustion Air Panel: Yes No
Include Mixer Regulator Assemblies: Yes No
Include Burner Nozzles: Yes No
Other Comments:

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