Technical Request Form

Please, fill in your name and address:

Name:*
Company:*
Dept:
Zip/Post Code:*
City:*
E-Mail:*
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Fax:
Your request:	Please send brochures.Please call.Please schedule appointment.Please provide a quote.
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Inquiry data: (greenmarked fields are required)

Quantity of Börger Pumps
Name/Description of conveying fluid
Capacity (m3/h)
Pressure (bar)
Temperature (Degree °C)
Suction pressure (m)
Specific gravity (kg/dm3)
Dry solid content (% DS)
Head (m WS)
Suction lift (m)
NPSH (m)
Viscosity (mPas/cP)
ph value
Type and size of solids
Operating conditions (hours per day)
Others
Pipe connections suction side DN
Discharge side DN
Required materials
Drive: (minimum choose one)	Bare shaft pumpGeared motorMechanically adjustableVariable speed driveVFDHydraulic
Mobile pump	Diesel motor drivenElectric motor drivenCar trailerHand trailer
Voltage (V)
Frequency (Hz)
Enclosure
Explosion proof class group