Streamline tag questionnaire (English)

*Denotes a required field

Streamline tags with no text
Is the Streamline Tag solely for colour code purposes? (If text is required, continue to the next section.)

The colours available for a single code are listed below, please tick which colour(s) is required. (These colours can be combined to create a double colour code; however, this would be classed as a special and priced accordingly.)

Is this the standard Aflex information as shown below required on the Streamline Tag?

For example:
Aflex Hose Ltd 01422317200 1” Phar:AS,SS,SI,STREAMLINETAG-EC WP/TP 16/24 bar Date 10/10 Sn 123456 Tag No 1234567890abc If No then this information will be supplied etched on the ferrule, marker ring or flat tag. Please state if you have a preference.

Streamline tags with text
The available colours are in the dropdown below, please select the option required.

Customer tagging information
Enter details of customer tagging information (30 characters, including spaces, per line-5 lines max) in the box below.
(Note. More than one tag may have to be used or the font size reduced from our standard size, this could reduce the clarity of the text.)
Does the tagging above need to be shown on the Test Certificate?

Please indicate number of tags per hose assembly (If more than one required please state the required position of tags)
Please indicate the required position of the tag. (Standard position will be 100mm from the back of the ferrule)
Other information (If you have a requirement which is non-standard, please contact Aflex Hose Ltd to discuss further options.)

Customer Information
Customer name*
Customer Business email*
Customer position
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