Hose-Man
  5397 N. Irwindale Ave., Irwindale, CA  91706
  800-4-HOSEMAN * 626-960-5091 * Fax 626-960-6298  

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    Contact Name
    Company Name
    E-Mail Address
    Phone Number

  Select the following:

 Hose:
           
 Size Inside Diameter:       Inch     MM

 Fitting End 1:
        
 Size Fitting 1:       Inch     MM

 Fitting End 2:
        
 Size Fitting 2:       Inch     MM

 Total Length:
  
    Inch     Foot     Meters         /        Quantity:  

 Other Comments:
  

   

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