Pump Request for Quotation Form - available at CDI in Buffalo, NY

This extensive form is meant to allow Chemical Distributors to supply you with a quotation in the shortest amount of time possible.

Please fill in as much of this form as possible.

Name:

Company:

Address:

City:

State:

Zip:

Phone:

Email:

Pump Application

Material to be pumped:

Temperature of Material:

Other notes on material (such as solids content, viscosity, specific gravity, particle sizes, etc.:

Suction Parameters

Pipe diameter (inches):

Pipe length (vertical length in feet):

Pipe length (horizontal length in feet):

Number of elbows:

Number of valves:

Is there a strainer used?:

Yes No

Other factors affecting the suction side:

Suction Parameters

Flow rate required (in gpm)::

Pressure required (in psi):

Max discharge head (in psig):

Pipe length (vertical length in feet):

Other factors affecting pump performance not addressed above:

Submit