Pump Application Worksheet* = Required FieldName* First Last Email* Company*Country*Phone*Pump ApplicationQty. Required NowInitial Requested Lead-TimeWeeks ForQTY. of Pumps-OR- Qty./MonthDelivery Date Month Day YearPumpPump Type* Fixed Displacement Variable DisplacementShaft Rotation* Bi-Rotational RH LH EitherShaft Type* Keyed Spline EitherShaft Orientation Horizontal VerticalInlet Up Down On SideFlowTotal Flow*Flow Measurement* GPM L/Min IN3/MinSplit-Flow® Required?* Yes NoNumber of OutletsOperating PressureNumber*Measurement* PSI BAR@ % Time (Total should =100)*NumberMeasurement PSI BAR@ % Time (Total should =100)NumberMeasurement PSI BAR@ % Time (Total should =100)NumberMeasurement PSI BAR@ % Time (Total should =100)Relief PressureNumber*Measurement* PSI BAR@ % Time*Duty CycleHours/DayHours/WeekMotor Speed DriveDrive RPM* 1200 RPM 1500 RPM 1800 RPM Drive Type* Fixed VariableDrive Horsepower Limitation?* No Yes - Specify HP Max in 'Other' box below Pump Inlet ConditionPump Inlet Condition* Neg. Head (Reservoir Below Top of Inlet) Pos. Head (Reservoir Above Top of Inlet) PressurizedVertical Distance from ReservoirMeasurement IN FT CM MMeasurement* PSI BARFluid TypeFluid Type*System TemperatureMAX TemperatureTemperature Scale* ºF ºCMIN TemperatureTemperature Scale* ºF ºCAmbient TemperatureMAX TemperatureTemperature Scale* ºF ºCMIN TemperatureTemperature Scale* ºF ºCAttach a File Drop files here or Select filesAccepted file types: txt, doc, docx, pdf, png, jpg, tif, Max. file size: 256 MB.CAPTCHANameThis field is for validation purposes and should be left unchanged.