Seal Order Form

SDI Salesperson you wish to contact:
Need Help Identifying Your Seal? Using the Form below, provide us with as much information as possible. If you want to send us a photo(s) please attach a clear, focused picture at the bottom of the Form.
Sending a sample in for us to identify? Please print a copy of this completed form and include with your sample. Samples submitted must be cleaned or will be subject to being returned without identification.
Your Company Name*
Contact*
Contact Phone*
Contact Email*
Contact Fax
Dimensional Data (See Drawing)
A. O.D. of Shaft or Sleeve
B. Bore of Stuffing Box
C. Bore of Gland
D. Stationary Width
E. Seal Working Length
F. O.D. of Seal
G. Gland Width (If available)
H. Depth of Stuffing Box
Seal Design Data
Head Type
Seat Type
Seal Manufacturer (if known)
**Does the Primary Face come out of the rotary?
- Yes
- No
Seal Part # (if known)
Rotary Face Material
Stationary Face Material
Rubber Compound
Pump Data
Pump Manufacturer
Serial #
Model #
Pump Size/Type
Pump RPM
Temperature
Material Being Pumped
% of Concentration of Material
If material is abrasive then explain:
Attach A Picture/File
Max. file size: 256 MB.
Questions/Comments
Email
This field is for validation purposes and should be left unchanged.

Dimensional Data (See Drawing)