* = Required Fields

* Company Name: Job Name: * Contact Name: * Phone: FAX: * E-Mail Address: Enter Application Details here:   Please complete the following fields: Flow Rate: GPM (Remember-Max Consumption Rate X 1.5 (Min S.F.) = Pump Rate) Oil Pressure Required at Pump Set Outlet: PSIG Suction Conditions: Flooded -or- Lift (Max. Lift = 15" HG, or 18' of Vertical and Friction) Pipe Size: Total Length of Piping: Grade of Oil: Arrangement: Simplex Duplex Triplex Strainer: Simplex Duplex Relief Valves: Integral External Pressure Regulating Valve: Yes No Construction: Welded Threaded Voltage Available: 1PH,120 1PH,240 3PH,200 3PH,240 3PH,480 3PH,575 (select from list) Electric Enclosure Required: Motor: ODP TEFC CHEM DUTY EXPLOSION PROOF (select from list) Panel: NEMA 1 NEMA 3R NEMA 4 NEMA 4X NEMA 7&9 NEMA 12 (select from list) Control Panel Required: Yes No Choose the following ONLY if a Control Panel is required. Manual Magnetic No Disconnects Fused Disconnects Circuit Breaker Pilot Lights Alternator Lead/Lag Alarm If you have a spec sheet available, upload it here: Spec Sheet:     Enter additional requests/comments here: Please click the "Submit" button to send this form now, or choose "Reset" to clear the form and begin again.