ELECTRIC HEATERS FOR INDUSTRY
Process Heater Quotation Form
Please use this form to request a quotation for our Process Heaters. Pleae make sure you complete the fields marked with asterisks to produce a quotation for you without delay.
<!-- .validate - class used to activate validation plugin data-success="Sent! Thank you!" - used by toastr to print the message data-toastr-position="bottom-left" - toastr message position: .top-right .top-left .bottom-right .bottom-left php/contact.php - action form required to be pointed here! NOTE: Add .required class for required fields. All input elements name required to be array format: contact[first_name], contact[last_name], etc --> <form class="validate" action="../php/contact.php" method="post" enctype="multipart/form-data" data-success="Sent! Thank you!" data-toastr-position="bottom-left"> <fieldset> <!-- required [php action request] --> <input type="hidden" name="action" value="contact_send" /> <div class="row"> <div class="col-md-6 col-sm-6"> <label>Name *</label> <input type="text" name="contact[name]" value="" class="form-control required"> </div> <div class="col-md-6 col-sm-6"> <label>Company Name *</label> <input type="text" name="contact[Company_name]" value="" class="form-control required"> </div> </div> <div class="row"> <div class="col-md-6 col-sm-6"> <label>Telephone *</label> <input type="number" name="contact[telephone]" value="" class="form-control required"> </div> <div class="col-md-6 col-sm-6"> <label>Email</label> <input type="email" name="contact[email]" value="" class="form-control"> </div> </div> <div class="row"> <div class="col-md-12> <label>Address *</label> <input required type="text" value="" class="form-control" name="contact[address][required]" id="contact:address"> </div> </div> <div class="row"> <div class="col-md-12" > <label>Project Name *</label> <input required type="text" value="" class="form-control" name="contact[process_medium][required]" id="contact:process"> </div> </div>
<div class="row"> <div class="col-sm-6 form-group"> <label>Duct Width: *</label> <div class="input-group"><span class="anote"></span> <input required type="number" value="" class="form-control" name="contact[duct width][required]" id="contact:ductwidth"> <span class="input-group-addon">mm</span> </div> </div> <div class="col-sm-6 form-group"> <label>Duct Height: *<span class="anote"></span></label> <div class="input-group"> <input required type="number" value="" class="form-control" name="contact[duct_height][required]" id="contact:ductheight"> <span class="input-group-addon">mm</span> </div> </div> </div> <div class="row"> <div class="col-sm-6 form-group"> <label>Process Temperature at inlet: *</label> <div class="input-group"><span class="anote"></span> <input required type="number" value="" class="form-control" name="contact[process_temperature_at_inlet][required]" id="contact:processtempinlet"> <span class="input-group-addon">°C</span> </div> </div> <div class="col-sm-6 form-group"> <label>Process Temperature at outlet: *<span class="anote"></span></label> <div class="input-group"> <input required type="number" value="" class="form-control" name="contact[process_temperature_at_outlet][required]" id="contact:processtempoutlet"> <span class="input-group-addon">°C</span> </div> </div> </div> <div class="row"> <div class="col-sm-6 form-group"> <label>MINIMUM - Ambient Temperature:</label> <div class="input-group"><span class="anote"></span> <input required type="number" value="" class="form-control" name="contact[minimum_ambient_temp]" id="contact:minambient"> <span class="input-group-addon">deg;C</span> </div> </div> <div class="col-sm-6 form-group"> <label>MAXIMUM - Ambient Temperature:<span class="anote"></span></label> <div class="input-group"> <input required type="number" value="" class="form-control" name="contact[maximum_ambient_temp]" id="contact:maxambient"> <span class="input-group-addon">deg;C</span> </div> </div> </div> <div class="row"> <div class="col-sm-6 form-group"> <label>Air Flow Rate:</label> <div class="input-group"><span class="anote"></span> <input required type="number" value="" class="form-control" name="contact[corrosion_allowance]" id="contact:corrosion"> <span class="input-group-addon">m³/sec</span> </div> </div> <div class="col-sm-6 form-group"> <label>Voltage:<span class="anote"></span></label> <div class="input-group"> <input required type="number" value="" class="form-control" name="contact[voltage]" id="contact:voltage"> <span class="input-group-addon">V</span> </div> </div> </div> <div class="row"> <div class="col-sm-6"> <div class="card card-default"> <div class="card-heading card-heading-transparent"> <h2 class="card-title bold"><strong>Control Panel:</strong></h2></div> <div class="card-block"> <div><label class="radio form-control"><input type="radio" name="contact[required]" value="star"><i></i>Required</label></div> What certifications are required: <div><label class="radio form-control"><input type="radio" name="contact[Industrial_safe_area]" value="star_delta"><i></i>Industrial Safe Area</label></div> <div><label class="radio form-control"><input type="radio" name="contact[hazardous_area]" value="delta"><i></i>Hazardous Area</label></div> <div class="row"> <div class="col-sm-6 form-group"> <label>Zone:</label> <div class="input-group"> <input type="text" value="" class="form-control" name="contact[zone]" id="contact:zone"> </div> </div> <div class="col-sm-6 form-group"> <label>T Class:</label> <div class="input-group"> <input type="text" value="" class="form-control" name="contact[t_class]" id="contact:tclass"> </div> </div> </div> </div> </div> </div> <div class="col-sm-6"> <div class="card card-default"> <div class="card-heading card-heading-transparent"> <h2 class="card-title bold"><strong>Process Air</strong></h2></div> <div class="card-block"> Is the process air inside the duct: <br><br> <div><label class="radio form-control"><input type="radio" name="contact[certification_not_required]" value="not_required"><i></i>Safe / Clean </label></div><br> <div><label class="radio form-control"><input type="radio" name="contact[certification_safe_area]" value="safe_area"><i></i>Hazardous / Explosive</label></div> </div> </div> </div> </div> </fieldset> <div class="row"> <div class="col-md-12"> <button type="submit" class="btn btn-3d btn-teal btn-block mt-30"> SUBMIT </button> </div> </div> </form>Technical Specifications