Request for Quote - Lay-Flat Hose

Personal/Company Information

First Name(required)

Last Name(required)

Company(required)

Email address(required)

Phone(required)

Hose/Equipment Information

Type of Lay-Flat Hose(required)

Please choose either Milford Fast-Frac (Nitrile) or Milford Polyurethane.

Size(required)

Total Length(required)

Lay-Flat Hose Equipment/Accessories

Dual Wheel Trailer

Single Wheel Trailer

Hose Tugger

Pig Launcher Assembly

Fittings

Couplings

Repair Clamps

Flow Meter

Are you interested in our deployment and retrieval equipment or need other accessories to complete your order?

Delivery Information

City Delivered To(required)

Notes / Comments

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