Motor-Pump Assembly Worksheet Name* First Last Email* Company*Phone*Application*Qty. Required NowInitial Requested Lead-TimeDelivery Date DD MM YYYY FlowFlow*@ required Input SpeedFlow Measurement*US GPML/MinOperating PressureNumber*Measurement*PSIBAR@ % Time (Total should =100)*NumberMeasurementPSIBAR@ % Time (Total should =100)NumberMeasurementPSIBAR@ % Time (Total should =100)NumberMeasurementPSIBAR@ % Time (Total should =100)Duty CycleHours/DayHours/WeekPowerkW Required*Drive Power Limitation?NoYes - Specify kW Max in 'Other' box belowPower SourcePower Source (If Known)*Current*ACDCInput SpeedSafe or Hazardous AreaArea*SafeHazardous - Specify Zoned AreaSpecifyFluid TypeFluid Type*Supply Technical Data Sheet if Special Fluid.Ambient TemperatureMAX TemperatureTemperature Scale*ºFºCMIN TemperatureTemperature Scale*ºFºCMountingMounting*VerticalHorizontalSpecificationsDoes the assembly need to meet a particular specification?SpecificationYesNoIf NO, standard motor pump will be quoted.List specification(s)Preferred Motor Supplier?SupplierYesNoList Supplier(s)PaintRequiredYesNoIf NO, unit will be supplied unpainted.Give DetailsSupply spec as required.Attach a File Drop files here or Accepted file types: txt, doc, docx, pdf, png, jpg, tif. PhoneThis field is for validation purposes and should be left unchanged.
