Use this form, as directed by your sales representative, to submit information about your pilot operated valve application.

Required fields are marked with a (*).

This form is also available as a downloadable PDF.

Customer Information


Please provide a phone number where you can be reached.
Please provide a fax number where we can send documents.

Valve Information


(Modulating pilots are not to be used on Compressors)
(RF x RF, RTJ x RF, RTJ x RTJ)
psig
psig
Please specify Fahrenheit or Celsius.
Please specify Fahrenheit or Celsius.

Back Pressure


psig
psig

Fluid Data


(9500 Series is gas service only)
(scfm, lb/hr, MMCFPD, etc.)

Other Conditions


Does the valve vent to a common header, flare stack, or closed discharge system? If yes, is there enough back pressure to require a back flow preventer?
Are there any pressure surges/spikes that the valve may see? Does the valve require a pressure snubber?
Does the valve require a field test connection?
Is it for an Offshore Application?
Is the valve in dirty service? Does it require an inlet supply filter?
Is manual blowdown (dome pressure dump valve) required?