DESIGNING REQUEST

Name
First Name
Activity
Company
Department
Adress
City
Zip code
Country
Telephone
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DESIGNING REQUEST :

In order to take a suitable approach towards finding a solution which is finely tuned to meet your requirements, we will need some basic information about the distribution of the heating elements, the application and the conditions of utilisation.

Upon receipt of this questionnaire, our engineering department will contact you to determine your specifications more precisely.

Please provide us the details you know.

Location
	Indoors		Outdoors
	Marine atmosphere		Tropical atmosphere
	Explosive atmosphere
	Other (specify)

Type of heated medium
	Liquids		Gas
	Mass in kg		Flow rate in m3/h
	Flow in litres/hr		Volume in m3
	Volume in litres		Density in kg/m3
	density in kg/cm³
	Specific heat
	kcal/kg°C

Conditions of utilisation :
	Convection		Conduction		Radiation

Initial temperature in °C
Final temperature i en °C
Heating time in hr
Efficiency

Heating elements Equipment subject to regulations
	No		Yes(specify)

Electrical characteristics
Power en kW		Voltage en V
Watt density in W/cm2		Number of heating stages

Mechanical characteristics and dimensions
Assembly
	Vertical		Horizontal		Other
Operating pressure in bars
Drawing N°
Sample