Pumps - Dredges - Power Units Custom or Standard Manufacturers of reliable Crisafulli products supported by superior service SRS Crisafulli, Inc., Glendive, MT 59330 U.S.A. Toll-free 800-442-7867 Fax: 406-365-8088
Pump Application Questionnaire
Please complete the following questions; the data you provide
helps us send the correct information to you, and specify the right pump for
your application. Call us toll-free at 1-800-442-7867
if you need more assistance or information not covered in this questionnaire.
Required fields in red
Your name:
Your E-Mail:
Your title:
Your company:
Company address:
City:
State:
Zip:
Country:
Company phone, w/ area code:
Fax :
Type of Business:
I am inquiring about the following product:
1. What is the material you plan to pump?
2. At what rate do you want to remove
it in Gallons or Liters per Minute?
Gallons Per Minute or Liters Per Minute
3. What is the Total Dynamic Head?
feet or meters
4. What type of solids, if any, are in
the material? Check all that apply:
Spherical
Pulpy
Gritty Hard
Soft
Other. Please describe:
5. What is the maximum size of solids?
inches or metric
6. What is the percent of solids?
% by weight or
% by volume
7. What is the specific gravity of the
material (if known)?
8. What is the pH of the material, if
applicable?
For pH other than neutral, describe the chemical elements present:
9. How do you want to power the pump?
Electric Motor
Diesel Engine
Gasoline Engine
PTO
Hydraulic Other. If electric,
please specify voltage and phase:
10. How would you like us to follow
up?
Please have a salesman call me.
This
is for a purchase
decision in months.
Contact me on .
This is for a project
I'm bidding on. The bid is due on: .
This is for a project
I'm specifying. The specs are due on: .
This is for my files.
No further action is required at this time.
SRS Crisafulli, Inc. 1610 Crisafulli Drive, P. O. Box 1051, Glendive, MT 59330 USA Toll-free 800-442-7867 Tel: 406-365-3393 Fax: 406-365-8088 Email: srsc@crisafulli.com
Send mail to srsc@crisafulli.com with questions or comments about products and availability. Send mail to lmfleming2@aol.com with questions or comments about this web site. Last modified: April 19, 2007