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Request for Quotation - Liquid Pump

Please send a quotation for the inquiry stated below:

New application Exact duplicate - note s/n Similar to order - note s/n
Serial No
Pump Type
Pump Orientation	Horizontal Vertical
Quantity
Reference
Conditions of Service
Liquid
Temperature °C
SG/Density of P.T.
pH
% Solids
Viscosity
	CP cST
Flow (m3/h)
Total differential head (m)
NPSH - Available
BHP
Suction Head (m)
Suction Pressure (bar)
Discharge Pressure (bar)
Driver Data
Motor Supply	Furnished by SIHI Customer
HP/kW
RPM
Phase
Cycle
Volt
Enclosure
	Additional Data: Insul, hazardous duty, eff., etc.
Mounted by	SIHI Customer
Materials of Construction
Material	Standard All iron Stainless Steel Plastic
Baseplate	Yes No
Bearings	Ball Sleeve & Ball
Lubrication	Grease Oil
Coupling	Standard Spacer
	Nozzle Position
	Other (aux., piping, etc.)
Seals	Packing/Seal rings Mechanical seal - complete below
Mechanical seal
Manufacturer
Type
Mfg. Code
Secondary seals
Rotary face
Stationary face
Springs
	Comments
	Customer Requirements
	Inspection (describe in detail)
Required delivery time
Contact Information
	Mr. Ms. Mrs Dr.
First Name
Last Name
Job Title
Company
Address
City
State (Australia only)	Select StateAustralian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWest Australia
Zipcode
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