About Us Quote Request Form
Quote Request Form
LaMOT Product Selection Guide
Contact Us For More Information
(816) 407-5654
(281) 295-6900
1 (800) 531-3140
sales@lamot.com

To assist you in the proper rupture disc and/or rupture disc holder for your application, it is important to begin by providing specific data about your system. Please fill out the form below. Fields with * are required.

Company Information
Your Name* A value is required.
Your Company* A value is required.
Your Title* A value is required.
Address 1* A value is required.
Address 2
City* A value is required. State* Please select a valid item.Please select an item.
Zip Code* A value is required. Country
Phone* A value is required. Fax
E-mail* A value is required.Invalid format.    
Preferred Method of Contact:
Rupture Discs
Type
Quantity Invalid format.
Size
Rupture disc material
Burst pressure Please select an item.
Temperature Please select an item.
Manufacturing range
Vacuum support
Vacuum support material
Special liners or coatings
Gasket material
Previous manufacturing number (if known)
B.D.I. Alarm System
Non-fragmenting design required
Rupture disc tag should be
(for rupture discs in Union Holders)

Operating Specifications
Maximum Allowable Working Pressure (MAWP) Please select an item.
Minimum rupture disc nominal diameter to meet relieving requirements Please select an item.
Maximum normal operating conditions
Pressure: Please select an item.
Temperature: Please select an item.
Rupture disc burst conditions
Pressure: Please select an item.
Temperature: Please select an item.
Backpressure/vacuum condition
Service cycle conditions Please select an item.
Flow rate required
Process media state
Molecular weight/specific gravity
Code/Standards requirements Please select an item. If "Other"
Appropriate rupture disc materials to meet corrosive and/or temperature requirements Please select an item. If "Other"
Appropriate rupture disc holder material to meet corrosive and/or temperature requirements Please select an item. If "Other"
Flange connection type and class at rupture disc installation:
Other special conditions  A value is required.Exceeded maximum number of characters.
Will this rupture disc be isolating a safety relief valve?    (if yes, non-fragmenting design required)
Will this system require a Burst Disc Indicator (B.D.I.®) Alarm System?
Further Comments  Exceeded maximum number of characters.
For Reorders Only
Existing Manufacturing Number
Existing Customer's Tag Number
 
 

 

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