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Company Name:
Contact Person:
E-mail Address:
Phone:
Shipping Address:
Shipping City:
Shipping State:
Shipping Postal Code:
Shipping Country:
 
Mailing Address:
Mailing City:
Mailing State:
Mailing Postal Code:
Mailing Country:

Dust Collector Manufacturer:
Dust Collector Model:
Filter Type:  Bag    Cartridge
Filter Part #:
Number of Filters Required:
Ship Date Required:
 
Filters Dimensions (inches):
Length:    Outside Diamater:  
Inside Diamater:    Gasket Location:  
 
What type of dust is the filter used on ? (Describe):
 
 
Process Air Temperature:
Process Air Humidity:
 
Does the dust hold a static charge?   Yes    No
Does the process give off sparks or flame?   Yes    No