Glands and Seal Kits Quote Request


Complete the form and submit using the button at the bottom of this page. A D.A.S. Services employee will be in touch shortly to help you with your request.

Company Information

Company Name (required)

Contact Name (required)

Your Email (required)

Telephone (required)

Street Address (required)

Mailing Address (leave blank if same as above)

City (required)

State (required)

ZIP(required)

Cylinder Information

Cylinder Description

Cylinder Type
AirHydraulic


Cylinder Fluid

Cylinder Part Number (Model or Serial Number)

Gland/Seal Kit Information

Gland/Seal Kit/Seal Number

Sample Available?
YesNo


Quantity Needed

Requested Due Date (For rush jobs, please call 260-833-6374.)

Seal Material
UrethaneBuna rubberHigh temp vitonOther (Please describe in comment box below)


Seal I.D. Size

Seal O.D. Size

Seal Height (lying flat)

Please leave any special requests, comments, or questions.