Company Name

Contact Name

Phone

Email Address

Company Address

Heater Type (Ex: Mica Band, Tubular Element, Flanged Heater)

Application (Ex: Freeze Protection, Baking, Extruder Barrel)

Voltage & Phase (Ex: 240V 1PH, 480V 3PH)

Wattage

Immersed Material & Volume (Ex: Process Water, Stainless Steel Platen, Oil, Air)

Heated Material & Volume (Ignore if the same as immersed Material)

Starting Temperature of Immersed Material

Starting Temperature of Heated Material (Ignore if the same as immersed Material)

Operating Temperature

Ambient Temperature

Heat-up time

Flow Rate (If applicable)

Terminal Box Rating (Ex: NEMA 1, NEMA 4X, IP65)

Agency Approval (Ex: CSA, CE, UL, Not Required)

Hazardous Rating (Ex: CL.1 DIV.1&2 GR.A, Not Required)

Notes & Details