Click here for printable APPLICATION DATA SHEET PDF.
*
required fields
*
Name
*
Organization
Address
City, State, Zip
*
Phone
Fax
*
Email
*
Brief Description
of Job
New Application
Yes
No
Similar Replacement
Yes
No
Exact Replacement
Yes
No
Solve Particular Problem
Yes
No
Suction Conditions
Discharge Conditions
Flooded
Yes
No How Much
GPM
Lift
Yes
No How Much
TDH/Pressure
Under Pressure/ Vacuum
Yes
No
Other
Motor Information
Type
Select
Electric
Air
RPM
Select
1200
1800
3600
unknown
other
Volt
Select
115 V
230 V
460 V
575 V
Phase
Select
single
three
Encl
Select
TEFC
ODP
Explosion Proof
Other
Liquid Information
Sealing Requirements
Liquid Name
Mechanical Seal
Yes
No Type
SG
Seal Flush Req.
Yes
No Type
Temp
Packing
Yes
No Type
Visc
Other
Vapor Pressure
Sealless
Yes
No
Abrasives
Any Special Options/
Accessories Needed
Solid Size & Concentration
