Name

First Name

Last Name

Email Address

Company Name

Subject

Message

Location of End User/Project Name

Quantity of Cylinders/Containers in System?

Container Capacity

How will the actuator be mounted?

Gas Valve Stem

Liquid Valve Stem

Header System

Will there be a vacuum regulator connected to the container?

Open/Close Capability

Every actuator has LOCAL remote open and REMOTE close capabilities. Only specific models have both remote open AND close.

Leak Detection

Do you require integral leak detection?

Remote Panic Button Required?

ACTUATOR QUOTE REQUEST

JCS INDUSTRIES