Waukesha Cherry-Burrell Applications Questionnaire:

Name:

Company:

Address:

City:

State:

Zip:

Country:

Phone:

Fax:

E-mail:

What is your question/application?

Please identify the following equipment required (check all that apply):

If you want WCB to recommend equipment for your application, please provide the following information:
Liquid:
Viscosity:
Specific Gravity:
Flow Rate:	GPM	or	LPM
System Pressures:	PSI	or	BAR
System Temperatures:	°F	or	°C
For Heat Exchanger applications:
Starting Temperature:	°F	or	°C
Ending Temperature:	°F	or	°C

Compatibility of liquid to elastomers: Special characteristics:

Type of motor enclosure and electricity available:
Single Phase	Three Phase	50 hertz	60 hertz
TEFC	Wash Down	Explosion Proof
Voltage:

Additional Comments:

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