Request a Quotation

Please complete this form and click on the "Submit" button. We will respond as soon as possible.

     *  Indicates required information

Customer Information:
* Name:
Title/Job Function:
* Company / Organization:
* Address 1:
Address 2:

   * City:

   * State: * Postal Code:
Country:
* Phone:   * Fax:
* E-mail:
 

 Project Information:
Customer Reference #:
* Project Name:
* Location:
Engineer/Consultant:
Location:
* Due Date:
* Project Status
* Estimated Date of Purchase (Mo./Yr.):

 Capacity, Sizing and Electrical Details:
* Pump Rated Capacity:

USGPM at ft. TDH
* Electrical Service - Phase/Voltage: Phase/Voltage60HZ 
* System Type:

* Basin Depth:

* Minimum Basin Diameter:

(May vary depending upon pump model selection.)
* Valve Box Option:

* Discharge Pipe:

* Cover Options:

Basin Options / Accessories:

Cast Iron Inlet Hub (in lieu of standard Adapta-Flex fitting)
  Additional Vent
  Additional Electrical Coupling (2" full coupling, for conduit)
* Control Panel Enclosure:
Control Panel Options: Secondary Surge Arrestor
  Dead Front Swing-Out Panel
  Floor Stand
  Elapsed Time Meter (1 per pump)
  Phase Monitor
  Anti-Condensation Space Heater w/Thermostat
  Intrinsically Safe Float Switch Circuits (separate enclosure)
   

 Additional Requirements / Comments:

   

NOTE: 
 After you click on the "Submit" button, if you receive an ERROR message indicating that  information is missing, use your browser's BACK button to return to the partially completed form. This will prevent losing the information already entered!
Clicking on "Fill Out Form" will open a blank form!