YOUR NAME                                         E-MAIL

TEL/FAX

ADDRESS

COMPANY

1. TYPE OF INSTALLATION

Cooling towers Hot water lines A/C Swimming pools  Boilers  Cold water install.  Hot water inst.   Water treatment  Other (which?)  

2. MATERIAL

Steel  Copper   PCV   Other (which?)

3. DIAMETER

Nominal    Outside  Inside/wall thickness

4. FLOW

Small     Average    Big

5. WATER QUALITY

Hardness (deg.)

6. IS WATER BEING TREATED?

Yes    No

7. PROCESS/CHEMICALS USED

Annual cost

8. WATER TEMPERATURE

Warm water deg. C   Swimming pool deg. C

9. COOLING TOWERS

Number of feed water and mak-up water inlets - please specify below the diameter of each

10. COMMENTS/ADDITIONAL USER'S REQUIREMENTS

11. INSTALLATION DIAGRAM

(Please attach WORD, jpeg, gif, or fax us: USA (509) 756-9055 - include pipe diameters, measuring/control equipment, other devices, distances, etc.