Motor/Pump Assembly WorksheetName* First Last Email* Company*Phone*Application*Qty. Required NowInitial Requested Lead-TimeDelivery Date Day Month YearFlowFlow*@ required Input SpeedFlow Measurement* US GPM L/MinOperating 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)Duty CycleHours/DayHours/WeekPowerkW Required*Drive Power Limitation? No Yes - Specify kW Max in 'Other' box below Power SourcePower Source (If Known)*Current* AC DCInput SpeedSafe or Hazardous AreaArea* Safe Hazardous - Specify Zoned AreaSpecifyFluid TypeFluid Type*Supply Technical Data Sheet if Special Fluid.Ambient TemperatureMAX TemperatureTemperature Scale* ºF ºCMIN TemperatureTemperature Scale* ºF ºCMountingMounting* Vertical HorizontalSpecificationsDoes the assembly need to meet a particular specification?Specification Yes NoIf NO, standard motor pump will be quoted.List specification(s)Preferred Motor Supplier?Supplier Yes NoList Supplier(s)PaintRequired Yes NoIf NO, unit will be supplied unpainted.Give DetailsSupply spec as required.Attach a File Drop files here or Select filesAccepted file types: txt, doc, docx, pdf, png, jpg, tif, Max. file size: 128 MB.CommentsThis field is for validation purposes and should be left unchanged.
