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Please fill out the form below to the best of you ability. The form is generic in nature to fit most applications. Some of the fields may not be required for your request. Providing us with the most detailed information you can will let us choose the BEST pump from our vast product line. Please include units, such as GPM, TDH, and M3/S, where required. Thank You. Project Identification Name Email Company Address City State ZIP Country Phone Number Fax Number Application Overview Job Number or Location Number of Pumps Any Preferences You Have Date the Proposal is Required Date the Equipment is Required Liquid Description Liquid Being Pumped Temperature Specific Gravity Vapor Pressure Viscosity pH Percentage, Type, and Size of Solids Entrained Gases Acceptable Materials of Construction Unacceptable Materials of Construction System Conditions Capacity Total Pressure Required if Determined Suction Plumbing Description Include Sizes; Lengths; Valves; Fittings; Materials; etc. Flooded Suction or Suction Lift Total Suction Lift Discharge Plumbing Description Include Sizes; Lengths; Valves; Fittings; Materials; etc. Total Discharge Lift Pressure Required at the End of the Line Open or Closed System Permanent or Portable Duty Cycle Altitude Driver Information Electric Motor Include Voltage; Single or Three Phase; Hertz; Electrical Classification Engine Information Include Fuel Type; Clutch Required?; Engine Enclosure?; Noise Level Limit; Any Other Special Requirements Air Supply Include Air Flow Available at a Particular Pressure Hydraulic Supply Include Oil Flow Available at a Particular Pressure Call us at 800-437-8076, or fax us at 701-225-0320 or, email us.

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	Pump Systems, Inc.  PO Drawer 1940  530 25th Ave. E  Dickinson, ND 58601  (800) 437-8076 - (701) 225-4494  Fax (701) 225-0320
	www.pumpsystems.com/tools/guide/guide.html -- Revised: 6/10/03  Copyright © 1997-2003Pump Systems, Inc.  psi@pumpsystems.com