Replacements Enquiry Form - Printer Version

Please fill in your details below. (* Required)

Name*:
Company Name*:
Address Line 1:
Address Line 2:
Address Line 3:
Address Line 4:
Address Line 5:
Phone Number*:
Fax Number:
Email Address:

If there is a label on the gas spring strut you wish to replace please enter
what is written on it in the box below.


What type of gas spring strut would you like to replace and do you
require any special construction options?

standard
locking
pulling
valve
stainless steel

By examining the gas spring strut you wish to replace, please fill in the following details.

Rod diameter (mm):
Tube diameter (mm):
Stroke length "A" (mm):
Centre to centre length "B" (mm):

Please select what type of end fitting is on the rod end of the gas spring strut you wish to replace and if you require stainless steel construction.

Ball joint
Eye
Other (Specify at the bottom.)
Don't know
Stainless steel

Please select what type of end fitting is on the tube end of the gas spring strut you wish to replace and if you require stainless steel construction.

Ball joint
Eye
Other (Specify at the bottom.)
Don't know
Stainless steel

If you know how many gas spring struts you need please enter it below.

Quantity:

If there are any other details that may help us, us enter them below.








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