McCrometer/Rep Quote#: Provide the McCrometer quote number or a quote provided by your rep
Vertical Market: Select from the option of market codes, if you are unsure your rep can provide you with this information.
Customer PO: Enter your PO number as it is shown on your Purchase Order
Contact Information: Provide us contact information for the POC on this specific Purchase Order
Bill To/Ship To: This information should be the same as the Purchase Order
End-Destination/End-User: This is required information for us to processes your order
V-Cone/Wafer Model Number
Please enter the breakdown of the model number from price list or quote. Using the drop-down menu and the code definitions select the appropriate options from the drop-down menu.
Operating Pressure/Temperature: These field are required to ensure the model number manufactured is appropriate for your operating conditions.
PED: If a PED meter is required, the Design Pressure/Temperature needs to be provided for your application.
Non-Destructive Evaluation (Yes/No)
Please select from the drop-down menus what testing and additional options you require for your meter.
Code Definitions:
Series:
Size:
Material:
Schedules:
End Connections:
Fittings:
V-Cone Order Intake Form(V2-2)
* Indicates required fields
McCrometer/Rep Quote #:
Vertical Market:*
Customer PO Reference #:*
Contact Information (Name, Email, Phone #):*
Bill-To:*
Ship-To:
End-Destination:*
Market Industry:
End-User:*
End-Use:*
Please enter all required fields. Buttons to submit will only be enabled after all required fields are entered.
Series
Size
Material
Schedule
End Connection
Fittings
Other (-N, -W, -XX, …)
Model #
Quantity:
Operating Pressure
Operating Temperature
Sizing Provided?
Tag Number(s):
PED Required?
RT (Weld Neck Only), PT, & HT ARE REQUIRED
Hydrostatic Test (HT)?
Design Pressure *
Design Temperature *
PED Classification *
Non-Destructive Evaluation (Yes/No)
X-Ray (RT)?
Dye Penetrant (PT)?
Positive Material Identification (PMI)?
NACE (Hardness Test)?
Other?
Specify In Itemized List Below
Transmitters, RTDs, Manifolds?
CRN Required?
RT (Weld Neck Only), PT, & HT ARE REQUIRED
Crating? (Dom./Int.)
Province *
Unit Price
Total
Purchaser acknowledges that the order for the mentioned model number above will comprise the following items:
Item
Item Number
Description
QTY
Unit List Price
Extended Amount
1
$0.00
2
$0.00
3
$0.00
4
$0.00
5
$0.00
6
$0.00
7
$0.00
8
$0.00
9
$0.00
10
$0.00
11
$0.00
12
$0.00
Total
$0.00
*Buttons will be enabled after required fields have been entered.
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