Questionnaire

Brand * Brand

• ITT Manufacturing Enterprises, Inc.
• Crane Process Flow Technologies Ltd.
• Gebruder Muller Apparatebau GmbH & Co., KG and/or Gemu Valves, Inc.
• Georg Fischer Aktiengesellschaft Corporation
• Burkert Werke GmbH & Co. KG Ltd
• SED Flow Control GmbH
• Top Line Process Equipment Co.
• Swagelok Company / G.S. Anderson GmbH

Material or OEM Grade * Material

• EPDM
• Natural Rubber (NR)
• Isobutylene isoprene (Butyl rubber IIR)
• Fluoroelastomer (FPM, FKM)
• Fluorsilicone (FVMQ)
• Neoprene (CR)
• Silicone (VMQ)
• Perfluorelastomer (FFKM)
• Thermolast K (TPE)
• Virgin PTFE (2-piece diaphragm with EPDM backing)
• Virgin PTFE (1-piece diaphragm with a partial or fully laminated EPDM)
• Modified PTFE (TFM) - (2-piece diaphragm with EPDM backing)
• Modified PTFE (TFM) - (2-piece diaphragm with FKM backing)
• Modified PTFE (TFM) - (2-piece diaphragm with Silicone backing)

Diaphragm Construction * Diaphragm Construction

• Single-piece elastomer diaphragm
• 2-piece PTFE backed elastomer diaphragm
• 1-piece fully laminated PTFE backed elastomer diaphragm
• 2-piece partial laminated diaphragm

Diaphragm Color * Diaphragm Color

• White product contact face with black backing
• Black product contact face and back

Length [d1] (mm)*

Height [d3] (mm) *

Name*

Contact Number*