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    Are you selling any of these products at this time? (please checkmark which product – you can check more than one)


    How many units do you buy per year


    Do you have a service team?


    Business size number of employees



    Ductless Form

    Please fill out your details:

      Ductless Fume Hood Features

      Describe the application or process that will be performed in the hood

      List the chemicals that will be used in the hood. (Please add at least one chemical)Add Chemical

      Chemical Name

      Concentration

      Volume Used

      Volume Evaporated in 24 hrs

      Will any of the above chemicals be heated? Please describe the process

      Will any equipment be used in the fume cupboard? Please describe

      Please select the desired fume cupboard width (* for ductless fume hoods only)

      Work surface type:

      Operating system for ductless fume hood:

      Accessories - optional

      Are there any other special requirements? Please describe



      If you have any questions about this form, please contact us at: [email protected] or 857-340-1199. Thank you.

      𝗠𝗲𝗲𝘁 𝘁𝗵𝗲 𝘄𝗼𝗿𝗹𝗱'𝘀 𝗳𝗶𝗿𝘀𝘁 𝗶𝗻𝘁𝗲𝗴𝗿𝗮𝘁𝗲𝗱 𝗽𝗮𝗿𝘁𝗶𝗰𝗹𝗲 𝗺𝗼𝗻𝗶𝘁𝗼𝗿𝗶𝗻𝗴 𝘀𝘆𝘀𝘁𝗲𝗺 𝗳𝗼𝗿 𝗯𝗶𝗼𝘀𝗮𝗳𝗲𝘁𝘆 𝗰𝗮𝗯𝗶𝗻𝗲𝘁𝘀!

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