Flexible Heater Product Data Quotation & Order Form
 

Name:
Company:
Address:
City:
	State: Zip Code: Country:
Phone:
Fax:
Email address:
Part Number if Available:
Quantity:

If No Part Number Available:

1.	Shape: Round (Diameter):
	Shape: Rectangular: Length: Width: leads exit width
	Shape: Drum (Gallon size or diameter):
	Shape: Trapazoid, Irregular, or 3D (provide drawing):
2.	Rating: Watts: Volts: Phase:
3.	Type of Leads: Lead Length:
4.	Thermostat: None
	Adjustable (Specify temperature range): °F
	Fixed (Specify temperature): °F
	T/C Type:  Other Sensor:
5.	Material: Silicone Rubber (Std.):  Other:
6.	Element Type: Wire Wound     Etched Foil
7.	Mounting: Pressure Sensitive Adhesive (PSA) Mounting: Factory Vulcanized to Customer Part Mounting: Other - hooks & laces, grommets & laces, spring loaded latches, snaps or velcro-specify
	Mounting:
8.	Agency Approvals:   None    CE    C.S.A.
	Agency Approvals:   U.L. Component Recognized    Other:
9.	Insulation: 1/16" - 1/2" Silicone Sponge    Thickness:    .005" Foil
10.	Special Features: Holes or Cutouts [specify size and location] Grounding Mesh, etc.

Operating Conditions:

A.	Application (Describe in detail): Heated Medium:   Gas    Solid    Liquid
B.	Application Temperature: °F
C.	Ambient Temperature: °F
D.	Installation Environment:    Indoor    Outdoor

Please reference information from OGDEN Web Site or OGDEN Catalog