Superior Hose & Fitting
Printable Hose Selection Worksheet
Print & complete form, then call Superior Hose & Fittings at 814-265-1080 or fax to 814-265-1534.
Our trained sales staff will gladly help select the right hose for your application!

Size
inside diameter
outside diameter
length
Temperature
highest
lowest
Application
how hose is being used
environmental or installation considerations
Media
what is going through the hose
Pressure
actual working pressure
(+) spikes
suction (-)
Ends
fittings thread styles
size
quantity
Delivery
date required
ship via

Company Name ________________________________________________________

Contact Person _________________________________________________________

Phone Number (_____) ___________________________________________________

Email Address__________________________________________________________