V.P. / General Manager:
Michael Hasley
(708) 887-6336
hasley@qualiseal.com
Vice President:
Rob Stuebing
(708) 887-6338
stuebing@qualiseal.com
West Coast Sales:
Rick Schumacher
(949) 443-1450
schumacher@qualiseal.com
Quality Manager:
Miki Radivojevic
(708) 887-6315
radivojevic@qualiseal.com
Production Control:
John Van
(708) 887-6346
van@qualiseal.com
*Required Fields
*Requested By
*Company
*Phone
*Address
State
*E-mail
Engineering Contact
Fax
City
Zip Code
SEAL OPERATING CONDITIONS (PLEASE BE SPECIFIC)*
Equipment
Model
Seal Type:
Shaft Seal Labyrinth Radial Lip Seal
Other
*Shaft Diameter
"
Seal Bore Depth
Tolerance
Seal Bore Dia.
Finish
µ" Ra
Shaft Material
AT SEAL O.D.:
AT SEAL I.D.:
Media
Pressure
Viscosity
Specific Grav.
Vapor Press.
Other Conditions
Shaft Speed
r.p.m.
or
f.p.m.
Temperature °F
Min
Max
Seal Lubrication or Flush
Special Requirements:
Comments:
*Estimated Annual Quantity
*Quantity to be Quoted
*Delivery Requirements
*PLEASE PROVIDE DRAWING OF HOUSING ENVELOPE OR SEAL SAMPLE
Submittals sent to Qualiseal Sales Department - sales@qualiseal.com
