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ALSCO Industrial Products, Inc.- Pump Information Request

We would like to furnish you with information about the pump best suited for your application. This requires a knowledge of the system in which the pump is to operate. If you will answer the following questions, we will be able to give you a specific recommendation.

Name:
Company:
Address:
City:
State:	Zip
Email:
Phone:
Fax:

Fluid To Be Pumped:
Capacity Required(U.S.G.P.M):
Total Head (ft):
Pump Fluid Temperature:
Specific Gravity:
Viscosity:
Other Pertinent Data:
Preferred Materials of Construction:
Length of Pump Tube:
Motor Characteristics:	Volts Cycles Phase
Enclosure:

*Available with Speed Control


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