Please enter any information you know about your rubber expansion joints needs below, the fields with an asterisk* are required, anything you don’t know can be left blank. We’ll call you to discuss options soon!

Project Name*

Your Company Name*

Your Name*

Your Phone Number*

Your Email*

Zip Code*

Pipe Size*

Face-To-Face Dimension*

Temperature*

Pressure/Vacuum*

Media*

If this is a replacement, please list mfg. and model number.

Drilling (If other than 125/150)*

Elastomer

Movements

Compression

Extension

Lateral

Number of Arches

Integral Metal Flanges

Retaining Rings

Hydrostatic Testing?

Please attach any pertinent documents or images
File 1:
File 2:
File 3:

Notes

UA-85374348-1