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Name* Surname* E-mail* Company Address City ZIP Code Country Phone Fax Valve model (specify if known) Quantity (occasional / annual / etc.) Valve construction material (brass / stainless steel / mixed) Discharge required (free / piped) Inlet connection required (thread size and profile or special connector: Gas, Din, T.C., etc.) Homologation – Certification (CE - GOST – ATEX - ASME VIII Div.1 - CRN) Operating temperature Calibration Pressure (pressure at which the valve must begin to open) Discharge flow-rate required Fluid to be discharged (gas and/or steam) Minimum and Maximum working temperatures Material of the seal seating required Any notes I agree to processing of data

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