Please fill in all of the information below in order to apply for OEM (Original Equipment Manufacturer) customer status.
Use this form only if you are looking to incorporate Aalborg products into your own.
All Fields Marked with an ( *
) are Required.
Personal Information
E-mail *
Title
Company *
Company Address *
Attention to/ Mail Stop
City *
State / Province
Zip / Postal Code *
Country *
Phone *
Fax
Application Information
Industry Affiliation? *
What is your end product? *
Please provide a brief description of your end product: *
Current status of the product application:
Existing Product Production within six (6) months Production within twelve (12) months Other, please specify
Which Aalborg product(s) are you considering for your application?
valves variable area flowmeters mass flowmeter mass flow controller i/o signal conditioner totalizer
Anticipated annual volume? *
Are you currently using a similar product in your application?
YES NO
If you answered 'Yes' (above), what make/model?
Aalborg -> model
Other manufacturer
Please use this space to provide additional requirements or comments about your application:
