Please provide the following information:

NOTE: You may click on the letters A, B, C, and D on the image, for suggestions in designing your product.

A / B = Head Diameter / Sealing Diameter: 21.3 / 19.16 22.9 / 20.77 mm

C = Overall Length: 38.0 40.9 45.2 48.7 52.8 55.0 57.7 60.5 62.5 65.3 72.3 75.5 77.5 mm

D = Green Ball Specific Gravity @ 80°/80° F: 1.150 1.160 1.175 1.190 1.200 1.210 1.220 1.228 1.235 1.250

Annual Volume:

First and Last Name:

Title:

Company:

Address:

City:

State:

Postal Code:

Country:

E-mail Address:

Telephone Number:

Fax Number:

How did you find our website? (e.g. Search engine, keywords used, etc):

Additional Comments: