Enquiry form

Customer information

Company name (optional)

Customer number (optional, if known)

Contact person (required)

Reference (optional, if known)

E-mail address (required)

Address

Postal code

Town

Telephone number (required)

Fax number

Order of product(s)

Article number(s) cable according to model

Article number(s) hose according to model

Article number(s) Teflon according to model

Article number(s) tubing according to model

Amount

Extra information and attachments

Use

Remarks

Attachment, a drawing, photo or sketch

By submitting your enquiry, you agree with our warranty conditions and terms of delivery. Would you like to send us a cable, hose or other product? Find the correct delivery addresses here.

Additional information

Additional information on the application and/or use is welcome, for example, extreme influences (liquids, exposure to low/high temperatures, etc.)

Airconditioning and low/high pressure

Please inform us when the product will be used for airconditioner (cold liquids) and high/low pressure.

DOT 5

Brake hoses manufactured in rubber are only suitable for DOT 3 and DOT 4; please consult us for suitability for DOT 5.1 and LHM. In contrast, brake hoses in Teflon are suitable for DOT 5.

Extra specifications

Weight, make of car, year, type or other information relevant to the enquiry. In a sketch of hydraulic hoses we appreciate to receive the following information: internal concave or convex end fittings, wire type, internal or external thread and the total length.

Delivery

Would you like to send us a cable, hose or other product? Find the correct delivery addresses here.

Questions?

For questions, don’t hesitate to contact us at sales@remkaflex.com or call us at +31(0)72-5621444.

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