Custom Application Request

Need help on a custom application?

Can’t find the exact product configuration for a specific application?

W4 has the ability to assemble products to fit your exact requirements. Please fill out the form below and tell us what you need.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Name*

Company Name*

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone*

Email*

Select Application*

RESTRAINING PIPE

REPAIRING EXISTING PIPE

CONNECTING PIPE

TAPPING PIPE

BRASS / GALVANIZED FITTINGS

MISCELLANEOUS

RESTRAINING PIPE - Nominal Size

RESTRAINING PIPE - Type of Pipe

Patching Pin Hole - Size

Patching Pin Hole - Type of Pipe

Patching Pin Hole - Damaged Area Size

Patching Pin Hole - Type of Hardware

Wrapping Full Crack - Size

Wrapping Full Crack - Type of Pipe

Wrapping Full Crack - Damaged Area Size

Wrapping Full Crack - Type of Hardware

Replace - Size

Replace - Type of Pipe

Replace - Type of Pipe Replacement

Replace - Type of Hardware

Connect - Size

Connect - Pipe Type

Connect - Hardware Type

Different - Size

Different - Pipe OD Side 1

Different - Pipe OD Side 2

Different - Hardware Type

Tapping - Nominal Size

Tapping - Outlet Size

Tapping - Pipe Type

Tapping - Type of Hardware

Fittings - Size Large

Fittings - Size Small

Fittings - Size

Fittings - Size 1

Fittings - Size 2

Fittings - Size Branch

Length

Please provide specific information*

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AFTER HOURS
EMERGENCY
PHONE NUMBER
951.212.3933

Tel: 866.234.9494
Fax: 951.739.9520

Office Hours:
Monday-Friday
7:30am-5:00pm

Main Location:
172 Business Center Dr
Corona, CA 92878

Utah Location:
3505 California Ave
Suite 600
Salt Lake City, Utah 84140

Monday-Friday:
7:30 a.m. to 5:00 p.m.
Tel: 866.234.9494
Fax: 951.739.9520