• Contact Information (REQUIRED)

    First and Last Name:  
    Email Address:  
    State/Province:  
    Country:  
    Company Name:  

    Application Data (REQUIRED)

    Product Description:  
    Customer Name/Project:  
    Flow Min. (GPM):  
    Flow Max. (GPM):  
    PH:  
    Temp (Product) degrees F:  
    % Solids:  
    Discharge Pressure (PSI):  
    Viscosity (CP):  
    Solids Size by Weight:  
    Suction Pressure (PSI):  
    Abrasion:  
     
    Maximum Solids Size:  
    Specific Gravity:  
     
    Average Solids Size:  

    Unit Features

            

     
    Ref. Ord. # of Replacement Pump:  

    Pump Details

    Pump Model:  
     
    External Material:  
    Internal Material:  
    Stator Material:  
    Sealing Method:  
    Internal Variations:  
    Rotor Options:  
     
    Flange
    Sealing Method
     
    Pump Rotation:  
    Mechanical Seal:  
    Seal Type:  
     
    Suction Flange Type:   
    Seal Manufacturer:   
    Seal Material Code:  
     
    Suction Flange Rating (psi)  
     
    Disch. Flange Type:  
     
    Disch Flange Rating (psi)  

    Motor

    Motor/Gear Motor   
    DC Mtr. Voltage:  
    Service Factor:  
    Manufacturer:  
    Insulation:  
     
    HP:  
    Conduit Box (F1/F2):  
     
    RPM: 
    Phase:  
    Hz:  
    Volts:  
    Frame Size:  
    Enclosure:  
    Foot or Footless: