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Unigy Ultra Efficient Pump Drive/System Inquiry Form
The following request for information form is divided into (6) 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. PUMP SYSTEM USAGE INFORMATION

PUMP DATAMOTOR DATA
Existing Pump TypeMotor HP
Displacement (GPM)RPM
2nd Stage Displacement (GPM)
(if applicable)		Motor Efficiency
Pump EfficiencyFull Load AMPs
(see motor nameplate)
  Voltage
CYCLETIMEAMPERAGEPRESSURE (PSI)
Calculated Total Cycle Time (sec.)
 
Non-Spraying/Use Time (sec.)
Full Spraying/Use Time (sec.)
Idle Time per Shift (min.)
(Pump system is running, but not in use)
 
Cycles/Hour
Hours/Shift
Shift(s)/Per Day

Section V. ENERGY INFORMATION

TOTAL COST MINUS DEMAND (MONTH)
DEMAND PER KW
REACTIVE CHARGE (rkvah weighted)
BASIC SERVICE CHARGE
TOTAL KWH USED PER MONTH

Section VI. SYSTEM INFORMATION

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.

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