We Accept:
Online Application
Please give us the following information:
 (Note: Items in red must be filled out to send form.)

Fluid Characteristics
Fluid Name:
Solids present? Describe:
Solids Concentration and Size:
Fluid Temperature: Normal   Max    Min
Viscosity: Max   Min
Specific Gravity:
Flow Rate:
Discharge Pressure (in PSI):

Pump Performance Requirements
Inlet Pressure:
Inlet Vacuum:
Suction Lift:
Static Head:
NPSHa:
Total Length of Pipe:
Pipe Diameter:
# of Elbows: 45°   90°  
Duty Cycle:

Customer Information
Please Respond Immediately: 
Please send the above data via email? 
 
Name:
Company:
Address:
 
City, State
and Zip:
Email:
  (Please include Area Code in Phone Numbers)
Phone:
Fax:
 
.............................................................................................................
207 U.S. Hwy. 281  Wichita Falls, TX 76310
1-800-234-1384  fax: 940-322-6661
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