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:

REQUIRED INFORMATION

Quantity:*
Boiler/Heat Exchanger Model:*
Burner Model:
Manufacturer:*
Type:
Other:

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:*
Fuel Type:*
BTU Content:

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:
Other :
Other Options:
Name:*
Address:*
Phone:*
-
E-mail:*