Pump Quote

First Name*:
Last Name*:
Title:
Company:
Address*:

City*:
State*:
Zip Code*:
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Fax:
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Pump Item(s) to be Quoted: Pumps
Boiler Feeder:		Centrifugal:
Close Coupled:		Condensate:
Condenser / Chill:		Dry Pit:
End Suction:		Frame (Base) Mounted:
Horizontal Split Case:		Multistage:
Sewage / Effluent:		Submersible:
		Turbine:
Vacuum:		Vertical Turbine:
Type, Make, Model:

Pump Controls
Alternators – Electric:		Alternators – Mechanical:
Control Panels:		Liquid Level Controls:
Mercury Float Controls:		Pressure Switches:
Phase Monitors:		Stainless Steel Float Balls:
Starters:
Type, Make, Model:

Pump Parts
Bearings:		Couplers:
Factory OEM Parts:		Impellers:
Mechanical Shaft Seals:		Shafts:
Shaft Sleeves:		Packing / Gaskets / O-Rings:

Do you need these items installed?	Yes No
Date needed:
Installation Location:
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Additional comments:
	* required information