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Questionaire of pump

PUMP REQUEST FORM

Customer name: *

Address: *

Person making request: *

Phone: *

Fax:

E-mail: *

Pump design:

horizontal

vertical

Pump type:

Number of pumps:

Head [m]:

Delivered quantity [m3/hod.]:

Pumped liquid temperature::

Pumped liquid type - specify:

Place of installation (country):

Other demands:

Copy the code:*

Items marked * are obligatory.

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