SEALLESS CENTRFUGAL PERISTALTIC ACCESSORIES & ASSISTANCE

The following request for information form is divided into (4) sections.  Certain fields (highlighted) are required.  You should fill in all fields to the best of your ability so that we can begin to immediately work on your application.  When you have completed this form, please click the submit button below to email it to us.  Thank You!

Section I.  CONTACT INFORMATION

Contact Name:
Company Name:
Address Ln1:
Address Ln2:
City: State: Zip:
Phone #:
Fax #:
Email:

Section II. FLUID INFORMATION

Fluid to be Pumped:
Fluid Temperature:
Specific Gravity:
Viscosity:
Desired Flow Rate:
Desired Outlet Pressure:
Does the Fluid Contain and Solids?
If Yes, Describe Noting Approximate Particle Size and Percentage:
Describe the Inlet Condition, (Suction Lift, Flooded or Pressurized):

Section III. FLUID COMPATIBILITY

Indicate the Required or Acceptable Materials of Construction
(You must choose at least one Elastomer)

Pump Chamber and Valve MaterialsElastomer Materials
BrassPolyvinylidene Fluoride (PVDF/Kynar)Neoprene
Nickel Plated Ductile IronCelconEPDM
316 Stainless SteelTungsten CarbideBuna-N-XS
HastelloyCeramicViton-XT
Polypropylene PTFE

Section IV. SYSTEM INFORMATION

Drive Options:Belt DriveDirect DriveVFD Option?Other:
Motor Type:TEFCExplosion Proof10:1 Turn Down Ratio
If you are replacing an existing Hydra-Cell, What is the Serial Number?:
Describe the Existing Pump or Other Pumps you are considering:
Describe any pump problems you experience:
Provide an application overview:
What is your approximate budget for this pump system?:
What is the time frame for this project?:ASAP<2 weeks<1 month<3 monthsResearch

Thank you for taking the time to submit your inquiry.
We should now have all the information that we require in order to contact you with a proposal for a complete pump system,
please click the submit button below to email this inquiry to us.

 
FACTORY DIRECT PIPELINE PRODUCTS, INC.
Your Single Source for Industrial Filtration and Valve Products

Copyright 2001-2008		 phone: 908.362.9981  
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fax: 908.362.5631
email: fdpp@fdpp.com