ZOOK Proquip - Rupture Disks - Overpressure Protection Products

Servicing Rupture Disk needs worldwide from manufacturing facilities located in 3 countries on 2 continents.

Order Form

Fill out this form if you would like us to assist you in selecting the best rupture disk solution for your application.

When the submit button at the bottom of the form is selected, your form will be e-mailed to ZOOK EUROPE, and an e-mail confirmation will be sent to you.

Please fill out a separate form for each specification.

Billing Information
Company Name:
Your First Name:
Your Last Name:
Email Address:

Company Address:

City:
State/Province:
Postal/Zip Code:

Phone:
Facsimilie:
ZOOK Mfg. Number, if reorder:

Disk Information:
Quantity:
Non-fragmenting design required?: Yes No
Preferred Disk Material:
Graphite:
316SS:
Aluminum:
Nickel:
Inconel:
Monel:
Other:
Disk Size:	in mm
Burst Rating :
Temperature Rating:	° C ° F

Maximum Normal Operating Conditions
Operating Pressure:
Vacuum Amount:
Service Type:
Process Media :
Media State:

Flange & Holder Information
Flange Size:
150 class ANSI:
300 class ANSI:
Other:
Holder Material (or armor material for graphite disk):
Carbon Steel:
316SS:
316SS Inlet / CS Outlet:
Other:

Optional Items
Electronic Burst Indication Required ASME UD Code Stamp Required
TFE Coating:
Process Side:
Vent Side:
Process Side Gasket:
Garlock 3000:
Solid PTFE:
Neoprene:
TFE Envelope:
Other:
Vent Side Gasket:
Garlock 3000:
Solid PTFE:
Neoprene:
TFE Envelope:
Other:
.
Additional Info:

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