Quote/Design Request Form

Please fill out this form to the best of your ability. We will help you complete the form after we receive it from you and be able to ask questions and make suggestions. Just indicate your critical minimum electrical and mechanical requirements versus your less critical preferences so we can better match up your needs to existing designs in our Seal Index.

Identify your cable, housing or connector type, size or manufacturer name and part number if that requirement is also critical in your application. We can help design in virtually any conductor combination if there is proper conductor spacing and available sealing diameter and lengths. Your sketches or drawings are also welcome in almost any format (Word, AutoCAD .dwg or Solidworks Edrawing formats preferred) and can also be e-mailed separately to tek(at)PAVEtechnologyCo.com.

For small quantities and quick deliveries, please first check our online IN-STOCK PRODUCTS PRICE LIST or for non-stock but existing designs, see online Existing Designs, as new custom designs typically require 2-3 months for delivery, though rush service with premium charges may be available.

Please also be aware that in-stock price list prices for small quantities will usually be much higher than the same product in larger quantities. Contact our Sales Engineering for accurate, negotiated large quantity prices.

Click here to view PAVE-Seal non-threaded piston o-ring installation — 510K GIF animation

General Information
Name:*		Title:
Company:		Department:
Address:		City:
State:		Postal Code:
Telephone:		Fax:
Country:		E-Mail:*
		Confirm Email:
* Required

Operating Conditions - All fields required - Drawings or Sketches are also encouraged for clarity
Describe your product our seal will be used in:	Describe media to be sealed (i.e., gas, fluids) and pressure direction, duration and cycling:

Maximum Pressure and/or Vacuum:	Temperature Extremes (C°):
Voltage (Indicate AC or DC):	Amperage duty cycle:
Pave Drawing #:	Pave Description Code:
Special Requirements: Indicate your minimum critical electrical & mechanical needs. Indicate if any conductive fluids such as water are present or if wires are twisted, shielded, overall jacketed (one or both sides) or other special order cable types or connector requirements.	Describe any special Leak Test Requirement (maximum helium leak or air/fluid pressure test if known. 80 psi (5 bar) air with no bubbles is standard test or vacuum helium <10^-6cc/second He at vacuum otherwise):

Please fill in your minimum number of wires and/or pins, wire or pin size(s), and wire lengths (wire lengths not applicable to PAVE-Mate I styles) in any one or more of the below desired style boxes:

PAVE-Seal Wire Harness

with insulated wire or overall jacketed and/or shielded cable on both ends.
Number of wires and size(s)#AWG or metric conductor diameter		Wire Mfg Part #,Gage and Insulation Type

PAVE-Mate I Connector Style

with pin disconnects on both ends, either electrical or fiber optic types. Supplied with both mating plugs and contacts. See also PAVE online catalog, in-stock price list, FAQ and drawing library.
Number of Pins		Pin Gage, Size, or Amperage Load

PAVE-Mate II Connector Style

with pin disconnect on one side only, and cable length on other side, electrical or fiber optic types. Supplied with one mating plug and contacts.
Number of pins/wires		Pin Gage, Size, or Amperage Load

PAVE Opti-Seal Cable Harness

with fiber optic cables on both ends. Can be one or more fiber optic cables within seal, single or multi-modes.
Cable Specification including insulation type, buffer type and size. Send fiber cable sample or spec sheet.

Your Preferred Method of Port Installation (Click here for online catalog pages 6-11 for NPT, straight thread o-ring, Conflat/ISO/NW flange, piston o-ring push in, laser/TIG weld,etc style standard bulkhead fitting/housing types or send your custom dimension drawing requirements).

*Quantities to Quote
& Any Budget/Target Price Range

*Desired Shipping Date

* Required

Do you want another catalog mailed to you?

Sales Engineer to call?

Please tell us how you found us with the name of your source (i.e., magazine's name, search engine and keywords, associate, another company's name)?

To help quote your project, fill in the diagram form below and refer to our online catalog pages or send your own drawing. Click on the below send request button at the bottom of the page when done. We will be contacting you shortly with questions, suggestions and a quote. Thank you for your time.

A	Indicate pressure or vacuum or if atmosphere side on above left side drawing after installation Pressure Level Vacuum Level
B	Indicate pressure or vacuum or if atmosphere side on above right side drawing after installation. O-ring face seals can be on either side, preferred on higher pressure side. Pressure Level Vacuum Level
C	If High Pressure (+40 bar pressures), Indicate Number of High Pressure Cycles and Duration
D	Maximum Diameter or Area Constraints
E	Bulkhead Thickness	Range Fixed
F	Your Bulkhead Material
G	Hex Side Wire Lengths and Type Insulation or Connector and Type Connector?
H	Opposite Bulkhead Side's Wire Lengths or Connector?
I	Preferred Style of Housing, if any (i.e., VS15L, NPT, molded plug with o-ring, etc) See online catalog pages 6-14 or Product Index for existing designs.
J	Size of Thru-hole or port diameter required or any special mechanical requirements.
K	Preferred Seal Housing Material, if any (Aluminum, SS, Brass, Plastic, etc)
L	Wire or Cable (E)nd Strip or (T) Termination connector mfg. part #, if any?
M	Opposite Side's (E)nd Strip or (T) Termination connector mfg. part #, if any?

Verify Code:

When your quote request has been sent, you will see a confirmation page after you click on the Send Request button. If you do not see a confirmation, either please re-send your request or call us directly at +1(937) 890-1100 x6. Thank you.

Please fax order and credit card info (NO emails with credit card info!) to +1 937 890 5165 or call +1 937 890 1100 x10 with card #, expiration date and CVD code on back of card. The shipping address must match credit card address, no exceptions.