Name:
Company:
Address:
City:State:Zip:
Phone #:Fax #:
Email:
Tank Length (in inches):
Tank Width (in inches):
Tank Depth (in inches):
Distance from top of tank to solution:
Solution:
Specific Heat of Solution:
Specific Weight of Solution:
Initial Temp (F):Desired Temp (F):
Heatup time required (hours):
Voltage Required / Available : 110 120 208 240 480 600
What type of prevention system? Fused Resettable
What type of controls? Digital Analog Indicating Non-Indicating
What type of heater? Over the side Screw-In "L" Shaped Vertical Stack
Any other options and / or concerns:

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