Request for Quote

Cylinder Specification Form:

Please fill out the following form and we will respond quickly with a quote.

Customer Information:

Company Name: Contact Person:
Address: Title:
Work Phone: Cell Phone: FAX:
Email: Website:  

 

Application Information:

Description: Environment:
Work Cycle: Envelope Constraints:
Cylinder position/orientation: Fluid Type:
Temperature Range: Maximum Rod Speed: Maximum Flowrate:

 

Design Information: 

Single/Double Acting: Design Pressure: Test Pressure:
Retracted Length: Extended length: Total Stroke:

 

 Single Stage Bore Diameter:  Rod Diameter:  Stroke:    
 Multi Stage Load Curve Supplied:  Working Pressure:   

 

  Bore OD Stroke Extend Force Retract Force
Stage 1
Stage 2
Stage 3
Stage 4
Stage 5

 

Baseplate:   Welded  Bolted  Threaded Gland:   Threaded  Bolted  Tie Rod
Extend port: Style/size  Location: 
Retract port: Style/size  Location: 

 

Mounting Connection:

 Base Eye  Base Clevis  Flange (base/mid/front)  Foot  Tube  Trunnion

 Other  Describe:    
Rod End Connection:

 Eye  Clevis  Face  Thread (internal/external)  Tube

 Other   Describe: 

Rod coating requirements (plating, thickness, # of layers, etc.) 
Can the design be modified (with approval) for improvements?  What are the critical and flexible dimensions?
Describe: 

 

Additional Design Requirements: 

External lift points & location/orientation: 
Additional Hardware:
     Counterbalance Valves (extend and/or retract)        Test ports        Rupture disc
  Valves        Hose/tube assemblies        Bearing/bushing        Cushions (extend or retract)
  Other        Details: 
3rd party certifications:  DNV, ABS, inspections, other: 
Cleaning, Blast, and/or Paint Requirements:  
Documentation:
  Engineering Calculations        Heat Tracking        Data Book        Test Reports        FEA Report
  Other   Details:  
Shipping/Packing:
  Ship Filled W/Oil        Wooden Crate        Clover to Deliver        Overseas Packaging        Rod Retainer
  Long Term Storage        Other   Details:  
Other Design Requirements:  

 

Special Requirements: 

Component materials:  
Rod, barrel, or component coatings/plating:  
Testing:            Clover to test with customer fluid (standard: AW 32)
Seal material, type or manufacturer:  
Other special requirements:  

 

Quote Information:

Clover Sales Person:  
Date Form Completed:             Quote Due Date:  
Quantities/order:        Annual:        Recurrence:  
Target pricing/qty:        Required delivery:  
Drawing or specification supplied?