Testing Actuation RFQ Request A Quote for Actuation "*" indicates required fields Name* First Last Email Address* Phone Number*Company Name*Job Title*Company Address* Street Address Address Line 2 City – Select State –AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What type of Actuation do you need?*– Select Actuation Type –PneumaticElectricHydraulicValve Information Please provide the following information about the valve the actuator controls.Valve Size*Make and Model NumberWhat Media is Being Transported Through the Pipe?*Max Operating PressureMax Operating TemperatureControl Valves:Flow MinimumFlow MaximumPressure MinimumPressure MaximumTemperature MinimumTemperature MaximumPneumatic Actuation Please fill out the following specifications as applicable:Hydraulic Actuation Please fill out the following specifications as applicable:Air Supply PressureHydraulic Supply PressureIs the Pneumatic Actuator Double-Acting or Spring-Return? Double-Acting Spring-Return Is the Hydraulic Actuator Double-Acting or Spring-Return? Double-Acting Spring-Return For Spring-Return, is it Fail Closed or Fail Open? Fail Closed Fail Open What is the NEMA Rating?– NEMA Rating –NEMA 4 (Weatherproof)NEMA 7 (Explosion-proof)Will a Solenoid be Needed? Yes No If Yes, What Voltage?Will a Limit Switch be Needed? Yes No Is a Positioner Needed? If so, please choose the signal.– Positioner Options –3-15psi4-20maNo Positioner NeededElectric Actuation Please fill out the following specifications as applicable:Electric Power SupplyIs the Electric Actuator ON/OFF or Modulating? ON/OFF Modulating What is the NEMA Rating?– NEMA Rating –NEMA 4 (Weatherproof)NEMA 7 (Explosion-proof)