First Name*
 
 
Last Name*
 
 
Title
 
 
Company*
 
 
Email*
 
 
Phone
 
 
 
 
 
Specifications:
 
 
 
 
 
Durometer
 
 
Inside Diameter
 
 
Application
 
 
Industry
 
 
 
 
 
 
 
Material Compound:
 
 
 
 
 
Nitrile (Buna-N)
 
 
 
 
Fluorocarbon (Viton)
 
 
 
 
Ethylene propylene (EPDM)
 
 
 
 
Silicone
 
 
 
 
Other
 
 
 
 
 
 
 
Subject