REQUEST QUOTE FORM FOR MIXERS
 
First Name *
Last Name *
Title *
Company *
Primary Job Function
Address 1 *
Address 2
City *
Province/State *
Country *
Postal/Zip Code *
Direct Tel.
Company Tel. *
Fax
E-mail *
Company Type

Industry

 
Fluid Properties
  Name % by Wt. S.G. Viscosity (cps) Particle Size (microns) Flow Rate (Define Units)
Liquid A    
Liquid B    
Solids    
Gas        
Final Solution    
Temp.
Pressure (psig)
Volume

tank

A Define Units
B
C
D
E
F
 
Operating Conditions
 
Mixing Class
Mixing Degree
Degree of Suspension
Blend Time (min)
Foaming Tendency
Mixing Cycle
 
Mixer Specifications
 
Mixer Type
Impeller Type
Wetted Parts
If other, please specify
Seal Type
Flow through vessel
  
Material Coating
   
 
Motor Specifications
 
?
Hz 
Voltage
   
Current
Encl. 
Drive
Mount
Variable Speed
Yes       

         

Additional Comments/Requirements

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