Order form

First name *

Surname *

Telephone *

E-mail *

Fax

Address

Business ID No.

Tax ID No.

Authorized medium
Area 1

Area 2

Max. permitted pressure [bar]
Area 1

Area 2

Max. permitted temperature [C]
Area 1

Area 2

Min. permitted temperature [C]
Area 1

Area 2

Volume [L]
Area 1

Area 2

Capacity [W]
Area 1

Area 2

Documentation will be submitted by the customer Yes No

Country of destination Czech Republic EU

Country of destination
Other

Basic body material Structural steel High-grade steel Stainless steel

Heating insert material Structural steel Copper Stainless steel

Environment where the vessel will be installed Inside heated premises Outside heated premises Elsewhere

Surface finish Base coat Hot galvanizing

Surface finish
RAL powder coatings

Surface finish
Other

Accompanying documentation in (language)

Number of copies of accompanying documentation

Note