Product Inquiry

Tri-Valley Hose Product Inquiry Form

Please complete the form below, including as much specific information & requirements as you can so that we can properly determine what you need. We will get back to you with the specific specifications & assembly details that meet your requirements.

*Indicates a required field.

Product Details

Application/Usage*:

Material(s) Conveyed*:

Working Pressure or Vacuum*:

Couplings/Fittings (Pipe Thread Type)?:

Temperature Requirements

Inner Temp:     Outer Temp:

Size Requirements

Inside Diameter*:    Length*:

Contact Information

Name*:

Email*:

Company*:

Address:

City:   State:   Zip:

Phone*:

Preferred Contact Method:  Email Phone Mail No Preference

Additional Details or Comments for Our Sales Team:

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