HOSE SHOP FORM
Please fill out the Hose Assembly Request Form Hose Assembly Request Form - Sent!
Hose Assembly
What kind of hose assembly are you looking for?
When is the assembly required?
Please select a date
HOSE SELECTION GUIDE
The acronym “S.T.A.M.P.E.D.” is helpful to select the proper hose by application. Use this form to answer questions that will assist in providing an accurate, quality hose assembly, resulting in longer life.
Temperature of the material inside the hose
Temperature of the environment surrounding the hose
How will this hose be used? (i.e. Discharge, Hydraulic, Suction, etc.)
What is flowing through the hose? (i.e. Abrasive, Chemical, Gas, Oil, etc.)
What is the required working pressure?
Indicate the type of pressure:
Types of end fittings required?
Indicate the orientation of fittings if more than one angled fitting is used
When is the assembly required?
Please select a date
Does the assembly require pressure testing?
Thank you! Our Hose Specialists will reach out to you shortly to finalize your hose assembly request.
