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QUOTE FORM / PUMPS

If you have all the necessary data collected, use this form to submit your quote request electronically.

Alternatively, you may download a copy of our quote form
and email us your submission.

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Customer Information
Company Name*		Date requested
Company Address		Inquiry Number
Contact Name*		Quote Number
Phone
E-mail *
Country *

Application Data

Pump Item Number

Material of Construction

Liquid Pumped

Flow Conditions

Rated

Minimum

Maximum

Specific Gravity

Solids Present

YesNo

% Solids By Weight

Max. Particle Size

Flow Capacity

Differential Head

Suction Pressure

Discharge Pressure

Differential Pressure

Temperature

Viscosity

Specific Heat

Vapor Pressure

NPSH(A)

Motor Requirements
Electrical Area Classification		Temperature Code
Phase		Site Altitude
Volt		Ambient Temperature
Hertz		Indoor/Outdoor

Comments/Notes

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