Contact Information
Salutation:
Mr.
Mrs.
Ms.
Dr.
First Name:
Last Name:
Company:
Address:
City:
State/Prov.:
Zip/Mail Code:
Country:
Phone:
Fax:
Email:
Application Requirements
Product/Component Name:
Desired Material:
Alternative Acceptable Materials:
Application Parameters
Operating Temperature Range:
o
F
o
C
Operating Pressure Range:
psi
bar
Chemical Exposure:
Yes
No
If yes list chemical(s):
Mechanical or structural requirements (strength, friction, rotation):
Product/Component Design
Email your drawing or sketch to
rzbikowski@savillex.com
or fax to 952.936.2292 attention Rick Zbikowski.
Additional Information
Estimated Annual Quantity:
Delivery Requirements:
Additional Specifications:
Please direct all questions to Rick Zbikowski at 952.935.4100 or
rzbikowski@savillex.com
