Pump Selection and Specification Form

Monday - Friday: 7:30 am - 4:30 pm
Saturday - Sunday: Closed

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Continue to fill out as much information as possible. Fields marked with * are required.

- Circulator
- Vertical Inline Close Coupled
- Vertical Inline Split Coupled
- End Suction Close Coupled
- Base Mounted Coupled
Company*
Name*
Phone*
Email*
Pump
Make
Model
Series
Serial #
USGPM or L/S
Type
Ft. Head, Meter Head or kPa
Type
Impeller Diameter (in inches)
Suction Flange Size
Discharge Flange Size
Motor
Make
Frame
Horsepower
Voltage
Phase
RPM
Enclosure (ODP/TEFC)
If you can see the inside of the motor it is ODP.
Check box if pump is driven by VFD
- Driven by VFD
Notes / Comments
Email
This field is for validation purposes and should be left unchanged.