Expansion Joint Enquiry Form | A.V.IBRAHIM INDUSTRIES

Fabric Expansion Joint Order / Enquiry

Fields marked with * are required. Dimensions in mm unless specified.

1 Customer Details

Customer Name *

Required

Reference Number

Telephone *

Valid phone required

Contact Person *

Required

Email *

Valid email required

Quantity *

Valid quantity required

Delivery Requirements

2 Style (select one)

A Belt on L-frames Style B

B Mid clips high Style C

C Mid clips low Style D

D With liner bar Style E

E Insulated pillow Style F

F Low-profile U belt Style G

G Wave on L-base Style H

H Flat belt + liner

Please select a style (A–H)

3 Service

Joint Number

Location

Flow

Flow Media

Cycles / Year

Start-ups and shut-downs

Enter a numeric value

4 Size

Duct Inside Dimension

Enter a numeric value

Duct Thickness

Enter a numeric value

Duct Opening (face to face)

Enter a numeric value

5 Pressure

Design Pressure

Enter a numeric value

Operating Pressure

Enter a numeric value

6 Temperature

Operating Temp

Enter a numeric value

Excursion Temp

Enter a numeric value

Excursion Duration

Ambient Max

Enter a numeric value

Ambient Min

Enter a numeric value

7 Movement

Axial Compression

Enter a numeric value

Axial Extension

Enter a numeric value

Lateral parallel to long side “X”

Enter a numeric value

Lateral parallel to short side “Y”

Enter a numeric value

8 Baffle

Material

Thickness

Enter a numeric value

Flange Height

Enter a numeric value

9 Other Comments

Notes

Expansion Joint – Order Form

Fabric Expansion Joint Order / Enquiry