📝 Peristaltic Pump (New Experiences) – Application Form

Date:

Name of Person / Company: *

Address: *

Product: *

Phone: *

Email: *

Current Pump Type:

General Description of Pump Conditions:

Place of Use of the Requested Pump:

PH Level: *

Alkaline

Acidic

Chemical Properties of Fluid:

Acid Type:

Neutral

Alkaline Fluid Type:

Average Pump Operating Hours (Hours Per Day):

Discontinuous

Pumice system: Continuous

Particle size (microns):

Contains solid particles

Solid to liquid ratio:

Minimum required flow rate (m³/h):

Minimum required flow rate (L/h):

Maximum required flow rate (m³/h):

Maximum required flow rate (L/h):

Horizontal head (m):

Vertical head (m):

Maximum required pressure (Bar):

Minimum required pressure (Bar):

Inlet (Inch):

Outlet (Inch):

Required explanations:

Name: *