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Quote Request
Name
(Required)
First
Last
Email
(Required)
Quote Required By
(Required)
Job/Project Name
(Required)
Primary Panel Requirements
Panel Type
(Required)
New Panel
Replacement Panel
Voltage
Volts
Phase
Hertz
Htz
Horsepower
HP
Kilowatts
kW
Full Load Amps
Amps
Start Kit?
(Required)
Yes
No
Start Kit Part Number
(Required)
Type
Simplex
Duplex
Triplex
Other
Panel Rating
Indoor
Outdoor
Intrinsically Safe
Yes
Enclosure Rating
Additional Panel Options
Control Requirements
Electro-Mechanical
PLC
Check all that apply
Motor Control
IEC Starters (standard)
VFD
NEMA Starters
Soft Starters
Other
Check all that apply
Other Motor Control
Audible and Visual Indicators
Low Level
High Level
Pump Run
Pump Failure
Power On
Flashing Globe
Buzzer (NEMA1)
Horn (NEMA 4X)
Other
Check all that apply
Other Audible and Visual Indicators
Primary Level Control
Floats
UltraSonic
Submersible Pressure Transmitter
Booster System
Backup Level Control
Check all that apply
Pilot Lights and Operators
Neon Lights and Toggle Switches (Standard)
E-Stop
Lead Selection Switch
NEMA 4X Operators (22.5mm)
NEMA 4 Operators (30.5mm)
NEMA 4x Operators (30.5mm)
Other
Check all that apply
Other Pilot Lights and Operators
Pump Monitoring
Thermal Sensor
Seal Leak Sensor
Elapsed Time Meter (FAT)
Cycle Counter
Other
Check all that apply
Other Pump Monitoring
Testing and Installation
Factory Acceptance Testing (FAT)
Site Acceptance Testing (SAT)
Check all that apply
Notes
Color 1
Color 2
Color 3
Color 4
Color 5
