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Inquiries & Request For Quotation Forms

Please complete one of the forms below making sure to answer all questions. A Girard representative will contact you
within two (2) business days of your submission. Are you interested in opening a business account with Girard Industries?
📄 Download the credit application here (PDF)

Girard Industries offers two types of forms for your convenience:

✚ DETAILED FORM: A user-friendly questionnaire regarding your specific application. For a printable version of this form, download the PDF.

* indicates required fields

*This field is required. *This is not a valid name. *This is not a valid phone number. *This is not a valid fax number. *This field is required. *This field is required. *This is not a valid email address.
Preferred method of contact? Phone Email
*This field is required. *The message is too short.

The information requested below is OPTIONAL. Please consider that the more information you supply, the better our ability to assist you. Please supply all information that applies.

Pipe Dimensions

inches mm inches mm inches mm inches mm inches mm feet miles meters km

Type of Pipe

Carbon Steel HDPE PVC Ductile Iron Cast Iron Other

Pipe Bends
Check all that apply:

1.5D 3D 5D or greater Miter Unknown Other

Branched Fittings

Wyes / Tees?

Yes No

Type

Wyes Tees Other

Are Tees Barred?

Yes No

Can branched fittings be isolated?

Yes No

Valves

Are there Valves?

Yes No

Type of valve: (check all that apply)

Gate Ball Check Valve Other

Pigging History

Previously pigged?

Yes No

Type of Pigging

Construction Maintenance Operational On-Line

Media used to pig: (check all that apply)

Product Air Nitrogen Water Natural Gas Other

Frequency of pigging:

Daily Weekly Monthly Less than monthly

Most recent pigging:

Types of pig used: (check all that apply)

Steel mandrel with cups Steel mandrel with discs Steel mandrel with brushes
Polly-Pigs / foam pigs Solid urethane pigs Sphere

Launchers installed?

Yes No

Receivers installed?

Yes No

Flow

Flow Units

gpm, bbl/hr, m³/hr

Pressure

Pressure Units

psi, kPa

Temperature

Temperature Units

ºF, ºC CAPTCHA Image

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✚ MOBILE FRIENDLY FORM: A quick way to provide the minimum amount of information for us to assist you, optimized for mobile devices.

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*This field is required. *This is not a valid name. *This field is required. *This is not a valid title. *This is not a valid phone number. *This is not a valid fax number. *This field is required. *This is not a valid fax number. *This field is required. *This is not a valid email.
Preferred method of contact? Phone Email
*This field is required. *The message is too short. CAPTCHA Image

*This field is required.
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Call Today 713.466.3100

6531 North Eldridge Parkway | Houston, Texas 77041-3507 | USA

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