SPECIAL JCM REPAIR SLEEVE DATASHEET Phone: 1-800-527-8482 | Fax: 1-800-874-9524 | E-Mail:
ATTENTION:
JCM SALESPERSON: NUMBER OF PAGES: REQUESTED SHIP DATE:
E-MAIL:
FAX:
SOLD TO:
SHIP TO:
ORDERED FROM: ACCOUNT NUMBER:
TAG:
ORDER DATE
CUSTOMER PO NUMBER
SHIP VIA
CALLING PARTY
QTY. ORDERED
DESCRIPTION
PRICE (EA.)
AMOUNT
ALL PRICES ARE NET (EA)
TOTAL =
MANDATORY INFORMATION
OPTIONAL REQUIREMENTS
Type of Pipe: Nom. Pipe Size:
Special Range: Special Width :
OD of Pipe:
Gasket Req:
Line Pressure : Line Content :
Bolt Req:
Lug:
Application
Generic Drawings
Repair of Pipe : Joining Pipe :
Submitted: Approved:
REMARKS: Engineered Non-Returnable Item
QUOTE #:
______________________________________________
___________________________
CUSTOMER APPROVAL
DATE
21
Price List Effective February 3, 2025. Cancels all previous prices. Prices are subject to change without notice. 800.527.8482 sales@jcmindustries.com jcmindustries.com
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