quote

Date:

Due Date:

Contact:

Company:

Plant:

Address:

City:

State; Zip; Country:

Phone:

Fax:

E-Mail:

Liquid Specification

Fluid Handled:

Temp. of Liquid:

Specific Gravity:

Liquid pH:

% of Solids:

Solid Weight:

Max. Solid Size:

Describe Solid:

       Does Solid Need to be Passed:
             Remarks:

Pump Specification Type of Pump:Duty:
Plant Altitude:
     Capacity: GPM: TDH: PSI:
If Vertical:      Depth of Sump:     Setting Required:
                Start Level: Can Tailpipe be Used:
Sump Obstructions: Is There an Over-Flow:
If Horizontal:   Is Pump Mounted Below liquid level: If so how far:
                If not, How Far Above Level is Mounting:
                Is Water Available for Prime: Can Water be added:
                Is there any Suction Pressure: If so, what PSI:
                Type of Sealing Required:
             Remarks:

Materials of Construction             Material Desired:
                       Water End:
Remaining Wetted Parts:
       Remarks:

Electrical Nagle to Supply Motor: Type of Drive:
Motor Enclosure:   PH: Hz: Volts:
Level Control Required: If so what Type:
             Remarks:

Thank you for filling in this Quote Form. The form will be sent to our Sales Department for Prompt follow-up. If you have any questions please call, fax or e-mail us immediately.

Nagle Pumps will respond to your custom configuration needs immediately

Date:
Due Date:
Contact:
Company:
Plant:
Address:
City:
State; Zip; Country:
Phone:
Fax:
E-Mail: