Draeger

Draeger Application Form

Your Name(Required)

First Last

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

What are the gases to be measured?

What is the aim of the monitoring? Check all that apply.

leak-detection

work-place monitoring

ex-protection

process monitoring

other

What are the desired alarm-threshold(s) to be monitored?

What is the desired measuring range to be monitored?

indoor or outdoor

indoor

outdoor

Temperature:

Humidity:

Are there other gases which could interfere with the target gas?

What is the source of the target gas? (pipeline, tank, etc)