Enclosed-Shaped Bellows RFQ Please complete form with as much information as you have. Click here for a PDF version of this form. Step 1 of 5 20% Contact InfoName* First Last Company Name* Email* Phone Number* Rep Information AddressAddress Street Address Address Line 2 City State / Province ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Application DetailQuantity Required:* New Design or Replacement? Replacement Bellows New Design Bellows for existing equipment, or for future (new) design? Existing machine or equipment Future machine or equipment (new) Protection For ? Cylinder Rod/Ram Rod w/ Ball Bushing Ball/Lead Screw Acme Screw Spline Rectangular-Shaped Part Do you know the RPM? (for screws) Cover Orientation / Axis Horizontal Vertical Construction Preference Dynatect Recommendation Gortiflex® Sewn Vulca-Seal® Thermiseal Heat-Sealed Folded Profile/Shape of Bellows Round Oval* Rectangular/Square Tapered* *Please provide drawing or sketch, PDF file preferredAttach a File: Drop files here or Select files Accepted file types: pdf, jpg, jpeg, png, doc, docx, xls, xlsx, ppt, pptx, stp, step, dxf, dwg, slddrw, sldprt, idj, ipn, ipt, idw, ide, tif, tiff, Max. file size: 50 MB. Describe Application Environment/OperationWhich temperature unit of measurement? Fahrenheit Celsius Continuous/Ambient Temperature Intermittent Temperature Range (Min - Max) Frequency of Exposure to Heat/Cold Distance from Heat Source (if applicable) Maximum Travel Speed Movements per Day Acceleration Pressure or Vacuum? No Pressure* Vacuum* *Indicate PSI and whether bellows cycle under pressure or vacuumPSI Bellows Cycle Under Pressure? Yes No How will air enter/exit the bellows? How will the air be vented?Dynatect can quote optional breather vents upon request. See Bellows Accessories section at the end.Heat Exposure Weld Spatter Hot Chips High Ambient Temperature Abrasion Exposure Metal Chips/Swarf Wood Chips/Shavings Light Particles or Dust Ceramics/Glass Chemical or Liquid Exposure Water Salt water / sea water Petroleum/Hydrocarbons Oils (non-petroleum) Hydraulic Fluid (petroleum-based) Hydraulic Fluid (phosphate ester-based) Acid Coolant Cutting Fluid Contaminant Exposure Level Minimal Occasional Heavy Describe as much as possible the overall volume of any liquids or abrasives falling on the bellows.Other Conditions/Requirements UV/Ozone Outdoors Food-Grade (FDA) Laser Beam Clean Room Light-Proof/Camera Dimensions COVER SIZING For rectangular profiles, specify both dimensionsDiameter (O.D). of Covered Part "A"* Bellows I.D. / Inner Dimension(s)* *Provide if replacing existing bellowsBellows O.D. / Outer Dimension(s)* *Must be greater than dimensions(s) listed above; if left blank, we will determine the proper clearanceMaximum Allowable Bellows O.D. Largest outer dimension or diameter - leave blank if not applicable EXTENDED/RETRACTED/TRAVEL Specify extended and retracted length requirements, or indicate travel and we will advise retracted length. (Extended length = retracted length + travel)Extended Length Retracted Length Travel Distance Lateral Movement Bellows EndsChoose end type for each end (scroll down) End 1Make a selection and provide dimensions below End 1 Type Standard Flange Inside Flange Collar Flange-Type Collar Flange O.D. outer diameter or outer dimension L x WFlange I.D. outer diameter or outer dimension L x WCollar I.D. outer diameter or outer dimension L x WCollar Width End 1 Accessories Mounting Holes per pattern* Mounting Plate** Clamp*** for this end *Drawing Required **Plates shipped blank unless hole pattern specified, drawing required ***0.5" I.D. minimum. Clamps are stocked in any size required. Clamp band is 0.5" wide.Other End (End 2)Make a selection and provide dimensions below End 2 Type Standard Flange Inside Flange Collar Flange-Type Collar Flange O.D. outer diameter or outer dimension L x WFlange I.D. outer diameter or outer dimension L x WCollar I.D. outer diameter or outer dimension L x WCollar Width End 2 Accessories Mounting Holes per pattern* Mounting Plate** Clamp*** for this end *Drawing Required **Plates shipped blank unless hole pattern specified, drawing required ***0.5" I.D. minimum. Clamps are stocked in any size required. Clamp band is 0.5" wide.Bellows AccessoriesBellows Accessories Zipper Inside Wires Outside Wires Tie Strips Internal Support Guides (recommended for screw covers) Outer Grommets for Support Rod Breather Vents Final Comments or Questions:CAPTCHANameThis field is for validation purposes and should be left unchanged.