EmailMe Form - Internet Inquiry Form

Name *

First Last

Email *

Company *

Business Address: (Include City, State, Country)

Office Phone

Cell Phone

Please let us know your primary need or interest *

Purchase plant or equipment

Purhase on-site produced gas or liquid products

Other

If "Other" please describe your question or potential service need

Where will the plant or product be needed? *

Location affects code requirements, shipping time, and other factors. At a minimum, please indicate country and general area within that country.

When must the plant or product be delivered or in operation?

An approximate date is sufficient.

Product Requirements / Specifications *

List each required product (e.g. oxygen, nitrogen, argon, etc.) including expected average and peak flow rates, operating cycle (e.g. continuous 24-7 or hrs per day, days/wk, etc.), required delivery pressure, and purity. Specify the units of measure for each product and parameter (e.g. tons/day, lbs/hr, SCFH, Nm3/h, psig, barg, etc.)

File Upload

Attach specifications or other data which will assist UIG in evaluating your request.

Additional Information / Comments

To help us better understand your requirement or interest, please provide other relevant information, such as detailed specifications, stage of project development, end use for the products, etc.