Hose Selection Form Thank you for filling out our Hose Selection Form. Please submit this form or print it and return it to Central Equipment. Call us with any questions at 315-776-5300. Email: Info_Central@Yahoo.com Fax: 315-776-8800*Here's What We Need From You: SIZE, TEMPERATURE, APPLICATION, MATERIAL, PRESSURE, ENDS & DELIVERYName First Last Company PhoneEmail SizeHose Size: Inside Diameter (I.D.): Outside Diameter (O.D.): Cut Length or Coupled Length (OAL): TemperatureTransferred Product Temperature / MIN: Transferred Product Temperature / MAX: Environment Temperature / MIN: Environment Temperature / MAX: ApplicationHow is Hose Being Used? Suction Discharge Pressurized MaterialMaterial Going Through Hose: PressureMax Pressure (PSI) or Suction (IN/HG): EndsFittings or Open Ends: DeliveryWhen: Quantity (ft): Other: CAPTCHA