Request A Quote

Reparex invites your quote requests for wear resistant coatings and linings. To expedite your quote request complete the fileds listed below making sure all fields listed with required are filled in so that the form may be processed in a timely fashion. Reparex respects your privacy while on our web site and encourages you to view our Internet Privacy Policy.

Your Name

Company Name

Address 1

Address 2

City

State

Zip Code

Phone (Include area code)

Fax

E-mail Address

Retype E-mail Address

Web Site

Project Application Information:

Please complete the following information to provide as much detail regarding your application project and your quotation. You may attach a drawing of specification sheet below in the area indicated for "Uploads"

Project Name or Reference Number

Location of Project

Description of Application: (Scope of Work - Work Requested)

Project Data

Criteria	Data Input If Known	Check If Not Known

Material Being Conveyed
Measurements	English Metric
Size Of Abrasive
Shape Of Abrasive	Sharp Edge Round
Density	- lb./in^{3 /} kg./cm³
Powder Density	- lb./in^{3 /} kg./cm³
Throughput	- Tons / Hour
Velocity	- Fps / m/s
Pressure	- Psig / Kg/cm²
Impact / Drop Height	- ft./m
Normal Operating Temperature	^oC/^oF- To - ^oC/^oF
Minimum Temperature	^oC/^oF
Maximum Temperature	^oC/^oF
Ambiant Temperature	^oC/^oF
Insulation	Outside Inside None
Temperature Shock Present	Yes No
Corrosion	Yes No
Current Lining
Current Wear Life
Operational Speed
Any Chemicals Present?	Yes No
	If Yes What Type: Concentration:

File Upload : You may attach drawing files or specification pages below by clicking on the "Browse Button". Please caheck to make sure file attachments are no bigger than 2MB.

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