What target gas or gases do you want to monitor? *Selection Required
*Carbon Monoxide	Select NONE Yes Please select a valid item.Please select an item.	Select Range 0-500 ppm 0-1000 ppm
*Chlorine	Select NONE Yes Please select a valid item.Please select an item.	Select Range 0-5 ppm 0-10 ppm 0-50 ppm 0-100 ppm
*Hydgrogen	Select NONE Yes Please select a valid item.Please select an item.	Select Range 0-200 ppm 0-500 ppm 0-1000 ppm 0-5000 ppm 0-1% 0-2% 0-5%
*Hydrogen Chloride	Select NONE Yes Please select a valid item.Please select an item.	Select Range 0-10 ppm
*Hydrogen Cyanide	Select NONE Yes Please select a valid item.Please select an item.	Select Range 0-10 ppm
*Hydrogen Sulphide	Select NONE Yes Please select a valid item.Please select an item.	Select Range 0-10 ppm 0-50 ppm 0-100 ppm
*Nitrogen Dixoide	Select NONE Yes Please select a valid item.Please select an item.	Select Range 0-10 ppm
*Nitric Oxide	Select NONE Yes Please select a valid item.Please select an item.	Select Range 0-50 ppm
*Oxygen	Select NONE Yes Please select a valid item.Please select an item.	Select Range 0-25%
*Ozone	Select NONE Yes Please select a valid item.Please select an item.	Select Range 0-10 ppm
*Sulphur Dioxide	Select NONE Yes Please select a valid item.Please select an item.	Select Range 0-10 ppm 0-20 ppm 0-100 ppm

AC Power Supply
*Select AC Power Required	Select Standard Plug 110VAC Hard Wired 110/220VAC International Power Please select a valid item.Please select an item.

Accessories (*Selection Required)
	*Battery Backup
	Select NONE Yes Please select a valid item.Please select an item.
	*Spare Sensor/s (Quotation or purchase will include all targe gas type selected above)
	Select NONE Yes Please select a valid item.Please select an item.
	*Calibration Gas (Quotation or purchase will include all necessary target gas and accessories selected above)
	Select NONE Yes Please select a valid item.Please select an item.

General Information (*Selection Required)
*Type of Process	Select Drinking Water Wastewater Industrial Process Chicken Processing Medical Safety Pulp and Paper Chemical Others Please select a valid item.Please select an item.
*Request Action	Select Extremely Important Fairly Important General Purpose Please select a valid item.Please select an item.
*Contact Form	Select E-mail Telephone Mail FAX Please select a valid item.Please select an item.
*Information Required
*Company Name	A value is required.Minimum number of characters not met.
*Contact Name	A value is required.Minimum number of characters not met.
*Address	A value is required.Minimum number of characters not met.
*City	A value is required.Minimum number of characters not met.
*State/ Province	A value is required.Minimum number of characters not met.
*Zip/ Postal Code	A value is required.Minimum number of characters not met.
*Country	A value is required.Minimum number of characters not met.
*E-mail Address	A value is required.Minimum number of characters not met.Invalid format.
*Telephone Number	A value is required.Minimum number of characters not met.
FAX Number
Special Request

FX-1 Mini Gas Detector Quote Form