PUMP APPLICATION INFORMATION

 
 

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

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

E-mail    Enquiry #

 
 

Please send me a catalogue

I have an immediate application

Please call me ASAP

 
 

 
  APPLICATION - What are you trying to accomplish ?  
  How do you do it right now ?  
  What is the problem ?  
  Where did you hear about FMI ?  
  Who is the application for ?    OEM      END USER  
  Metering (continuous) ml (cc's) / Minute, or Gallons / 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 ?  
  Temperature °F,  or °C  
  % of Solids      Size of Solids     Solids Type  
  Shear Sensitive ?   Y   N              Air Sensitive ?   Y   N  
  Any precautions / features of the fluid that we should be aware of ?  
   
  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  
  Ceramic       PVDF       Tefzel       316 StSt       Carbon Steel  
     
  DRIVE INFORMATION  
  Electrical Voltage   VAC  /  Hz  /  Phase,  or VDC,  Stepper Motor  
  X-Proof     Pneumatic     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 FMI Pump / Model are you interested in ?