Name
*
First
Last
Phone
*
Fax Number
Email
*
Company Name
*
Address
*
City
State / Province / Region
Formation
Formation
Tubular
Rectangular
Tubular Outside Diameter (if applicable)
Tubular Length (if applicable)
Rectangular Length (if applicable)
Rectangular Width (if applicable)
Rectangular Height (if applicable)
Other Dimensions (if applicable)
Specifications
Construction Material
Metal
Glass
Plastic
Maintenance Temp
Operating Temp
Max Operating Temp.
Watts Required (if known)
Supply Voltage
Phase (single / three phase)
Power Lead Length
.5 foot standard (1.3cm)
Location
Indoors
Outdoors
Moisture Present
Yes
No
Area Classification (if known)
Ordinary
Class 1 Div. 1
Class 1 Div. 2
General Application Comments
Features
Temperature Sensor Type
Sensor Plug
Standard
Mini
End Caps
None
1 End Only
Both Ends
Protrusions
Yes
No
Accessories
Temperature Sensor Type
(Type K thermocouple recommended)
Sensor Plug
Standard
Mini
Sensor Lead Length
Insulation Thickness
Temperature Control
(By HTS/Amptek or by customer)
Please Choose
We have an existing control system we will use
We will furnish the temperature control(s)
Request for HTS/Amptek to make a controls recommendation
Optional HTS/Amptek Controls:
Thermostat
Voltage Control
Variable Transformer
Closed-loop PID Control
Name
This field is for validation purposes and should be left unchanged.
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