-> Please, fill in the following form and our specialists will contact you soon. 
    -> In order to proceed to your request, please complete all the fields with *. 
    (The information you provide to us is stored securely and is strictly confidential)
      Personal information 
      > if you are a current customer, you only need to fill in the fields in bold

        *Name

        *Company / Organization

        Department

        Job Position

        *Address

        *Street

        *City

        *Country

        *Postal code

        *Telephone

        *Fax

        *E-mail

      Specific information 
      > For some fields, you will find our standard values (you can modify them)

        *Preferred brand

        *Type:

        *Gas Type:

        *Full Scale Flow Range (in sccm or slm):

        *Upstream press (bar):

        *Downstream press (bar):

        *Temperature (C):

        *Type inlet fitting:

        *Type outlet fitting:

        *Cal. position:

        *Electrical connection:

        *O-ring / seals material:

        *Valve:

      Optional:

        Valve seat material:

        Mechanical Connections:

        Valve Type:

        Electrical Input / Output:

        Communication:

        Baud rate:

        Cable:

        Enhancements / power supply input en area classification

      Yes / No

        For digital MFC's number of cal curves/gases:

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