PUMP APPLICATION INFORMATION

 
 

Please complete as many fields as possible.
The more information that you can provide will ensure
that we offer the best product solution for your needs
and hopefully we won't need to ask you any further questions.
 

 
 
   Company Name  
   Title    First Name    Last Name  
   Address  
   City    County    Postal Code  
   Country    Telephone    Fax  
 

 E-mail    Enquiry #

 
 

Send Me A Catalogue

Immediate Application

Please Call Me

 
 

 
   APPLICATION - What are you trying to accomplish ?
 
 
   How do you do it right now ?
 
 
   What is the problem ?
 
 
   Where did you hear about Doseuro ?  
   Who is the application for ?    OEM       END USER  
   Metering (continuous) ml (cc's) / Minute, or Litres / Hour  
   Dispensing (dosing) ml (cc's) / dispense, or Dispenses / Minute  
   Accuracy  %,  Precision  %     
   Discharge Pressure psig, or bar  
   Suction Pressure psig, or bar  
     
   FLUID INFORMATION  
   Name      Specific Gravity  
   Viscosity CPS,   Acid ?    Base ?    Solvent ?      
   Highly Flammable ?    Low Flammability ?  
   Temperature °F,  or °C  
   % of Solids      Size of Solids     Solids Type  
   Shear Sensitive ?            Air Sensitive ?    
 
 Precautions / Features of Fluid we should be aware of ? 
Please provide an MSDS if possible
 
 
   
   OPERATION  
   Continuous Duty Cycle hours per day, over cycles per week  
   Alternating Duty Cycle hours,  or mins ON,   hours,  or mins OFF,  over days per week

 
     
   MATERIALS OF CONSTRUCTION – FLUID PATH  
   PVC       PVDF       PP       316 StSt       Pyrex       Ceramic      

 NBR       FPM       PTFE       PU

 
     
   DRIVE INFORMATION  
   Electrical Voltage   VAC  /  Hz  /  Phase,  or VDC,  Stepper Motor  
   X-Proof     Fixed Speed     Variable Speed     4-20mA
     
   PLUMBING  
  Suction Port Size Discharge Port Size Tubing Material  
     
   QUANTITY OF PUMPS  NEEDED 
    Overall.......    Immediately      in 6 Months      and in the future  
    
   Which Doseuro Pump / Mixer Recommended or Interested in ?
 

To guard against spam please enter the code you see in the image to the left into the box on the right.