Modular Process System Project Inquiry Form – Provide Info

Please complete the form below and a company representative will contact you, or we can be reached at the address above. Ask for Tom Schafer. You can also call (201) 267-8670 or download the PDF version and email to contact@kochmodular.com or fax to 201-368-8989.

  • SECTION 1 CUSTOMER INFORMATION

  • Date Format: MM slash DD slash YYYY
  • SECTION 2 PROCESS INFORMATION

  • SECTION 3 UTILITIES AVAILABLE

  • SECTION 4 INSTRUMENTATION

  • Customer Preferences for Field Instrument Manufacturers:
  • SECTION 5 GENERAL INFORMATION

  • Materials of Construction:




  • Drop files here or