For your free* Visual-Only BAULIN-TUBE unit,
print, fill-out & Fax to: 888-257-3555 (toll free)
* Please note, this offer is only valid in the United States and Canada and directly to the end-user healthcare facilities that currently do not have any Airflow Direction Incorporated's Baulin-Tube indicators.  Offer does not apply to contractors or resellers. By submitting this form to Airflow Direction Inc., you are representing your facility will be procuring and using this product for the first time and you agree that Airflow Direction reserves the right to exercise invoicing for the unit should there be any misrepresentation as to first time use.  Offer expires April 30, 2009; Limit one per Healthcare Company while supplies last. Airflow Direction Incorporated recommends you consult with the Authority Having Jurisdiction and a Registered Professional Engineer to  review your application and use of the Baulin-tube indicator in conformance with minimum room pressure requirements per the AIA/HHS Guidelines, JCAHO Standards and all local and national codes. 
Please note: A minimum room differential pressure of 0.01 inches of water column is required for the indicator operation.
Any questions?  Please call Brian at 888-334-4545 (toll free)


YOUR SHIPPING INFORMATION

Your first Name:                                              Your Last Name:    

Your Position at the Healthcare Facility:

Your Email Address:

Healthcare Facility Name:

Your Department:

Street Address:

City/Town:                                       State:                   Zip Code:

Your Tel:                               Your Fax:     

PROJECT INFORMATION

Room Name:

Room Location (healthcare facility address):

Room Type (e.g. Infectious Isolation Room or Operating Room):

Do you want a NEGATIVE or a POSITIVE INDICATOR?

What is the finished face-to-face wall thickness?  _____________
(Note you need 6" clearance to mount
a 6" diameter backplate on both sides of the wall)
WE CANNOT FILL YOUR REQUEST WITHOUT
THE WALL THICKNESS