Custom Design Form - BellowsTech

Please submit as much detail as known for the best response time and accuracy. Bellowstech^® will review your details, provide a drawing, and quotation to the best of our ability with available information. If you prefer a PDF copy, click here. Include, at a minimum, a way to contact you to review your application; no fields are required. Thank you and we look forward to working with you.

Name*
First Last
Company Name*
Industry*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone
Application Description*
For Commercial Use?*
- Yes
- No
For Defense/Military Use?*
- Yes
- No
BellowsTech to ship outside of the USA?*
- Yes
- No
Bellows Core OD: Max*
Bellows Core ID: Min*
Installed Length Core Only No Flange (IL)*
Free Length Core Only No Flanges (FL)*
Extended Length Core Only (EL)*
Compressed Length Core Only (CL)*
Stroke (EL minus CL)*
Lateral Offset*
Angular Offset*
Pressure Inside Core During Stroke*
Pressure Outside Core During Stroke*
Max & Min Temperatures*
Target Spring Rate*
Leak Rate*
Corrosive Gase or Liquid?*
If Yes, What Type?*
Stroke Cycles*
Bellows Material*
Shaft Size (if present)*
Flange One*
Flange Two*
Flange Material*
Life Cycle*
Cycle Rate*
Quantities Required*
Please enter a number from 1 to 9999.99.
Target Price at Quantity (USD)*
When are parts needed:*
Date Format: MM slash DD slash YYYY
Comments
This field is for validation purposes and should be left unchanged.