Custom Gauge Form

To request a custom gauge, please complete the following form.  Attempt to fill it out as completely as possible.  

We will respond to you promptly with any questions and/or suggestions to help you design and build your gauge.  Once specifications have been determined we will provide a firm price and delivery.

If you any questions or difficulties completing this form, please don't hesitate to contact our sales department.

Company Information
Contact Name *
Contact Name
Address *
Preferred Contact Method
Order Information
Over the next 3 years, approximately how many gauges do you expect to buy?
Dial Information
Enter preferred dial size
Dial Material
Degree of Accuracy
Case Information
Enter dimensional specification and/or mounting requirements
Case Material
Fitting Information (connection)
Application Information
How and where will the gauge be used?
What is going into the gauge?
Other Performance Requirements
Additional Comments
Please provide any additional information that will help us design your custom gauge.