In an effort to streamline the quote request process, please provide the information below that will

allow us to server you better.

Date:
Due Date:*
Job Name:
Quote Ref #:

REQUIRED INFORMATION

Type:*
Other:
Qty:*
Boiler/Heat Exchanger Model:*
Manufacturer:*
Burner Model:
Former Job #:

Application Type

Steam
Water
Air
PSI Range:
Temp. Range:
Input Required:*
Flange Setting:
Altitude:*
Furnace Pressure:*
Furnace Dia. If Firetube:
If > 2000 FASL - W/Gas BTU/CF:
Mode of Operation:*
Control Signal:*
Code/Insurance Requirements (Select All That Apply):*
Fuel Type:*
BTU Content:

Gas Pressure

Gas Pressure:*
Min:*
Max:*
Voltage:*
Step-down Transformer:

OPTIONAL INFORMATION (these items will be quoted as standard if not specified otherwise):

Turndown Required:
PLEASE LIST TURNDOWN RATIO REQUIRED
Gas Train:
:
Required NOx Level Gas:*
Other :
NEMA Rating:
Other Specify:
Panel Box Location
Flame Safeguard:
Parallel Positioning Controls:
Paint Color:
Other :
Other Options:
Special Requests:
Name:*
Address:*
Phone:*
-
E-mail:*