Washington Rotating Control Heads, Inc. 63 Springfield Avenue
P.O. Box 261
Washington, PA 15301
(724)228-8889 Phone
(724)228-8912 Fax

INQUIRY FORM
To fulfill your request, we need to have the following data to assure you are receiving the proper information.

Date

Company Name

Address 1

Address 2

City

State or Province

Postal/Zip Code

Country 

Telephone

Fax 

Contact Person

Email:

Your Customer's Name

Address 1

Address 2

City

State or Province

If  you are inquiring about parts  for an existing  Washington Rotating Control Head or Diverter, please specify
Model No.

    Serial No.

PARTS REQUIRED

Quantity    Part Number    Description
Quantity    Part Number    Description
Quantity    Part Number    Description
Quantity    Part Number    Description
Quantity    Part Number    Description

FOR EQUIPMENT INFORMATION

Specify type of drilling:   GAS      OIL      DOMESTIC      ENVIRONMENTAL

OTHER:

Make and Model of Rig

Kelly Sisze (if applicable)

Max. Table Opening

Drill Rod Size(s)

(a)O.D.

(b)O.D.

(c)O.D.

Tool Joint Size(s)
(a)O.D.
(b) O.D.
(c)O.D.

Casing or Pipe Size(s)
(a)O.D.
(b)O.D.
(c)O.D.

Drill Bit Size(s)
   (a)
   (b)
   (c)

Type of Bit(s)
   (a)
   (b)
   (c)

Specify if Air or Fluid Drilling

Air Drilling    Fluid Drilling    If Air, please specify: C.F.M. P.S.I.

Additional Comments or Specs.

For other information such as availability, delivery schedules, or other specifics, please send us a detailed e-mail.  We will respond within 24 hours from receipt of your inquiry.

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