Directional Regulated Systems Inc. is the solution for industrial automation equipment needs.

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REQUEST FOR QUOTE

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Today's Date:

Due Date*:

Company*:

Address:

City:

      State:

Phone Number: Area Code*:

 

Phone Number*:

 

Fax Number:

 

Contact Name*:

Contact Email Address*:

Quotation Reference No:

Salesperson/Sales Co:

Part Name:

Part Print

2-Part Sample

Part No:

Part Condition:

Dry
Clean
Oily
Dirty

Hard 
Soft
Delicate
Finished

Burrs
Tramp Material
Chips
Other:

Desired Equipment:

Method Of Delivery To Our System:

Operation Being Fed:

Required Storage:

Production Rate:

Inlet Height:

Discharge Height:

Required Orientation:

Customers Power Supply: 

110VAC

230VAC

460VAC


Customers Plant Air Supply:

60PSI

80PSI

Other:

Our Electrical Controls:

Relay

PC

PLC

CNC J-Box Only

Customer Specifications:

Sound Requirements:

75 DBA @ 3FT TWA 80 DBA @ 3FT TWA None

Special Considerations:

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