Goodyear Rubber Products
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Product Recommendation Form Customer Information: Date: Company: Contact: Address: Phone: Fax: I.D. O.D. Overall Length Tolerance Size Material being Conveyed Outside Exposure Min. (�F or �C) Max. (�F or �C) Min. (�F or �C) Max. (�F or �C) Temperature Type of Service Indoor/Outdoor Flexibility Required External Conditions Application Intermittent/Continuous Use Electrical Static Conductive Type of Service Material Working Pressure W.P. Incl. Surges Burst Pressure Vacuum Required Pressure End Style Attachment Method Material Threads/Bolt Hole #1 Ends #2 Quantity Date Required Ship Via Delivery Required Testing Required Certification Color Private Branding Special Packaging Special Requirements Other Information 74
Goodyear Rubber Products
