Serving Commercial, Municipal, and Industrial Customers Since 1982

Replacement Pumps / Parts Form

Name:

Company:

Phone:

Fax:

Job Name or Reference Number:

Request Price for (Select One):

If other selected, please specify:

Brand Name:

Model Number:

Serial Number:

Pump Type: (Select One):

If other selected, please specify:

Motor Horsepower:

Voltage:

Phase:

Motor Speed (RPM):

Discharge Size in Inches:

Suction Size in Inches:

Power Cord Length in Feet:

Motor Enclosure:

GPM:

GPM

TDH:

FT.

List Parts/Kits etc:

Replacement PumpRepair PartsOther

Submersible ElectricEnd Suction CentrifugalHorizontal Split CaseSelf PrimingVertical Column or VTPOther

115-120200-208230-240460-480

1-Phase3-Phase

SubmersibleODPTECF