Requested by
Company*
Contact Name*
Phone*
Your Email*
Design Conditions
Pumped Liquid*
TDH
GPM
OAL
Replacement of Existing PSI or Deming Pump?* YesNo If Yes, Serial # of existing pump Required to Match Centerline of Existing Head?* YesNo If Yes, will supply DrawingsExisting Pump Head Requires Separate Foundation Plate?* YesNo If Yes, drawings available for existing plate? YesNo Sealing Method Packed BoxMechanical SealSelf-Seal Design Coating Shop Coat Enameled PaintSpecialty Coating Specialty Coating Type (if applicable) Requires NSF Approval (potable water)?* YesNo Connection Type ThreadedFlanged Suction Type NPTBell Requires Strainer?* YesNo If Yes, specify strainer type Galvanized316SS Motor Specifications HP RPM Additional Comments
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