* = Required Entry*Company Name:
Street Address:
*City, State:
Zip Code:
*Contact Name:
*Contact Email:
*Contact Phone:
Contact Fax:
Quantity:
Process Material:
Max Temperature: deg F deg C
Type T/C: J K T E N R S B C other
Single or Dual: Single Dual
Grounded/Ungrounded: Grounded Ungrounded
Insertion Length:
Process Connection: 1/2" NPT 1/4" NPT 1/8" NPT 3/4" NPT other
Sheath Diameter: 3/8" 1/4" 3/16" 1/8"
Sheath Material: 316 SS Inconell Teflon Coated SS
Well: None 316 SS Carbon Steel Hastelloy C Monel Teflon Coated
Electrical Connection: Bare Ends Aluminum Head with Hinge Cover Explosion Proof Head Plastic Head other
Notes (if you chose other for any of the above, please specify here):
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