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[contact-form][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Company Name’ type=’text’ required=’1’/][contact-field label=’Address’ type=’text’/][contact-field label=’Phone Number’ type=’text’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Filter Vessel Brand/Model’ type=’text’/][contact-field label=’Filter Media’ type=’select’ options=’Polypropylene, Fibrillated Polypropylene, Bleached Cotton, Polyester, Fiberglass, Rayon, Ryton, Nylon’/][contact-field label=’Micron’ type=’select’ options=’0.5,1,5,10,25,50,75,100,150,200’/][contact-field label=’Dimensions’ type=’select’ options=’1.06″ ID x 2.5″ OD (Standard),1.06″ ID x 4.5″ OD (Big Blue)’/][contact-field label=’Length’ type=’select’ options=’10”, 20″, 30″,40″,9-3/4″,19-1/2″,29-1/4″,39-1/4″‘/][contact-field label=’Core Material’ type=’select’ options=’Polypropylene,Tinned Steel,304 Stainless Steel,316 Stainless Steel’/][contact-field label=’End Cap Configuration’ type=’select’ options=’None, DOE-Double Open End,222 O-ring & Cap, 222 O-Ring & Fin, 226 O-Ring & Cap, 226 O-ring & Fin, Polypro Core Extender, Poly Spring’/][contact-field label=’Additional Comment’ type=’textarea’/][/contact-form]