CTH

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to know more about the use
of our products.
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CTH Industrial Controls ltd.
3705, Place de Java
Suite 200
Brossard, Quebec, Canada
J4Y 0E4

Telephone : (450) 671-2181
Toll free : 1-800-567-1234
Fax : (450) 671-1183
Email : cth_info@cth.ca

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Detailed information is required to do a accurate evaluation of your needs.
Please supply as many details as possible and we will get back to you shortly with our suggestion.

*Name :
*Phone :
Fax :
*Email :
*Company :
*Address :
*City :
*Province :
*Postal Code :

Describe your application

Details of the process

*Material :

Does the material coat :

Yes

*Temperature :	Min	Max
*Pressure :	Min	Max
*Flow rate :	Min	Max
Required capacity :	Min	Max

Enviroment classification :
Output required :

Is this a new installation? :

Yes

If not, what is currently installed? :

Is there any particular problems? :

Other usefull information? :

Do you require a quotation? :

Yes

Require installation date :

Are you curretly one of our clients?		Yes		No
Would you like to receive our NewsLetter « Info CTH » (only available in French)?		Yes		No

*Mandatory fields