Dealer Request a Quote
Dealer Information
Company Name
First Name
Last Name
Email
Phone/Mobile
Country
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USA
Canada
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Afghanistan
Åland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
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Australia
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State/Province/Territory
Zip
Well Information
Tracking Code (Your Customer's Name)
What is the static water level (in feet)
The static water level measurement is:
Estimated
Measured
Is there a pump in the well now?
- Select -
Submersible on pitless adaptor. (Through side of casing, underground.)
Submersible. Not pitless. Pipe through the TOP of well cap.
Jet pump.
Other. (Describe clearly in 'Message' at bottom.)
No pump in well.
Please add details about a pump in the well.
What is the Position/set of the current pump (in feet)?
What is the depth of the well (in feet)
What is the Recovery Rate of the well?
- Select -
more than 5 GPM
4-5 GPM
2-4 GPM
1-2 GPM
less than 1 GPM
Don't know
What is the Freezing level / frost line? (in inches)
Where is your well?
- Select -
Outside.
Outside, but in a pit.
Inside a pump house or home.
What is the inside diameter of the casing?
- Select -
2"
3"
4"
4.5"
5"
6"
6" sleeve + 4" liner
6.25" thin-wall (6-5/8 OD, 20.8" circumference)
6.25" thick-wall (7" OD, 22" circumference)
6.25"ID / 6.625"OD + 4" liner
6.25"ID / 7"OD + 4" liner
8"
Other (Please describe just below.)
Casing Inside Diameter Other
What is the casing rise above ground level?
- Select -
more than 24"
12-24"
2-11"
less than 2"
Pump Configuration Options
Are you going to pump to a pressure tank? (now or future)
YES
DEFINITELY NEVER
Is there any vertical rise from the well head up to the point of delivery?
Are you interested in adding a motor? (now or future)
Yes
No
What is your motor interest?
- Select -
Might want a motor in the future
Now: Standalone motor. We will take care of the power system.
Now: Complete system.
Now: Motor and electronics. We will take care of the panels and stand separately.
Do you have any questions or additional information you think would be useful?
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