TO REQUEST A QUOTATION PLEASE COMPLETE THE FOLLOWING FOR ADDITIONAL TYPES OF BAGS PLEASE SUBMIT A REQUEST FOR EACH TYPE
* Quantity of Bags Qty 1-25 26-100 101-UP
* Material of Bag Material FEP Teflon PFA Teflon Tefzel Teflon Tedlar Kynar Black Tedlar Saran Metalized Heat Stabilized CoExtruded Krinkle * Material Thickness Thickness 2 Mil 4 Mil 5 Mil * Enter Size of Bag (ie 6" X 8") * Number of Fittings No of Fittings 1 Fitting 2 Fittings 3 Fittings 4 Fittings * Type of Fitting (If Multiple selection Hold down CNTL Key & Select if more than one of the same type is required advise us in the Comments Section) Type HBL - On/Off Valve JK4 - Jaco 1/4" Kynar Union Fitting JK6 - Jaco 3/8" Kynar Union Fitting JN4 - Jaco 1/4" Nylon Union Fitting JN6 - Jaco 3/8" Nylon Union Fitting RSD - Replace Septum for ST6, SK5, SN5 RSU - Replacement Septum for UP4 & UK4 RT4 - Replacement Septum for TN4 & TK4 RT6 - Replacement Septum for TN6 & TK6 PA4 - Actel Valve Luer Connection PA5N - Acetal Connection Tube T7 - Teflon Nut NNS4 - 1/4" Nylon Nut Septum NNB4 - 1/4" Nylon Nut Blind SK4 - Kynar Septum Fitting SN4 Nylon Septum Fitting SK5 - Kynar Septum Fitting SN5 - Nylon Septum Fitting ST6 - Teflon Septum Fitting TK4 - Tube Septum Kynar 1/4" TK6 - Tube Septum Fitting TN4 - Tube Septum Nylon 3/8" TN6 - Tube Septum Nylon 3/8" UK4 - On/Off Septum Kynar Dual Valve UP4 - On/Off Septum Polypro Dual Valve SNS - Snap-n-Seal 800 - Flush Mount Fitting
* Fitting Location If fitting on both sides the fitting on the opposite side will be offset. Location Fitting 1 M - Middle MT - Middle Top MB - Middle Bottom ML - Middle Left MR - Middle Right EC - Edge Center ETL - Edge Top Left ETR - Edge Top Right EBL - Edge Bottom Left EBR - Edge Bottom Right Location Fitting 2 M - Middle MT - Middle Top MB - Middle Bottom ML - Middle Left MR - Middle Right EC - Edge Center ETL - Edge Top Left ETR - Edge Top Right EBL - Edge Bottom Left EBR - Edge Bottom Right Location Fitting 3 M - Middle MT - Middle Top MB - Middle Bottom ML - Middle Left MR - Middle Right EC - Edge Center ETL - Edge Top Left ETR - Edge Top Right EBL - Edge Bottom Left EBR - Edge Bottom Right Location Fitting 4 M - Middle MT - Middle Top MB - Middle Bottom ML - Middle Left MR - Middle Right EC - Edge Center ETL - Edge Top Left ETR - Edge Top Right EBL - Edge Bottom Left EBR - Edge Bottom Right Location Opposite Side Fitting 1 M - Middle MT - Middle Top MB - Middle Bottom ML - Middle Left MR - Middle Right EC - Edge Center ETL - Edge Top Left ETR - Edge Top Right EBL - Edge Bottom Left EBR - Edge Bottom Right Location Opposite Side Fitting 2 M - Middle MT - Middle Top MB - Middle Bottom ML - Middle Left MR - Middle Right EC - Edge Center ETL - Edge Top Left ETR - Edge Top Right EBL - Edge Bottom Left EBR - Edge Bottom Right Location Opposite Side Fitting 3 M - Middle MT - Middle Top MB - Middle Bottom ML - Middle Left MR - Middle Right EC - Edge Center ETL - Edge Top Left ETR - Edge Top Right EBL - Edge Bottom Left EBR - Edge Bottom Right Location Opposite Side Fitting 4 M - Middle MT - Middle Top MB - Middle Bottom ML - Middle Left MR - Middle Right EC - Edge Center ETL - Edge Top Left ETR - Edge Top Right EBL - Edge Bottom Left EBR - Edge Bottom Right
* Your Name Your Title Company Name * Address * City * Prov/State * Country Postal Code/Zip Telephone No. Fax No. * Email address Comments or additional information * = Mandatory Information