Company Name
Contact Name
Address
City
State
Alabama
Arizona
Arkansas
Alaska
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
International
Zip
Country
Telephone Number
Fax Number
Email Address
Primary Industry
Quote Information
One Time Order of
pcs
Repeating Order of
pcs
per
---
month
year
Prototype Order of
pcs
Current Cylinder Supplier
Current Supplier Model Number (if known)
Sheffer Distributor (if known)
Quote for a New Sheffer Cylinder
Model Number
(or closest Model Number from Sheffer Configurator)
Logia Number
Operating Medium:
Air
Water
Oil Type:
Operating Pressure:
Extend
psi
Retract
psi
Temperature:
Fluid
°F
Ambient
°F
Quote for a Existing Sheffer Cylinder
Serial Number
Model Number
(if known)
Previous Sheffer
Sales Order Number
(if known)
Request for the
following information:
Price and Delivery for
Complete Cylinder
Part No., Price and Delivery
for Seal Kit
Verify Model No / Model
Inquiry *
Part No., Price and Delivery
for Components
Other *
* Specify Quote Details Below
Model Detail / Quote Detail