E.C. Roseberry & Co. Inc. l Free Quote Form

[ECRoseberry.com] 4511 Harlem Road, Buffalo, NY 14226

E.C. Roseberry & Co. Inc.
order quote form

Please complete as much of the following information as you know. It is not necessary that we have each and every question answered in order to provide a quotation, but the more information you can provide us, the better!

PART 1: CONTACT INFORMATION

*Your Name:
Company Name:
Phone:
Fax:
*Email Address:

Part 2: PUMP INFORMATION

Fluid To Be Pumped:	(ex. lubricating oil, gasoline, vegetable oil, diesel fuel)
Fluid Manufacturers Name:	(if known)
Fuild Temperature at System Start-up:
Fluid Viscosity at Start-up:
Fluid Running Temperature:
Fluid Running Viscosity:
Desired Fluid Flow in GPM:	(gallons per minute)
Desired Fluid Pressure:	(in PSI at pump discharge)
Do Your Desire a Pressure Relief Valve on The Pump?	Yes No
Please Indicate Which Configuration You Prefer:	With Footed Motor-To-Pump Adapter [ ? ] Pump And Motor Mounted On C-Channel [ ? ]
Indicate Desired Port Configuration:	NPTF on Inlet and Outlet (Standard) ANSI Flanges on Inlet and Outlet SAE Flanges on Inlet and Outlet
Electric Motor Requirements:
Please Indicate Desired Motor Enclosure:	(ex. TEFC, Explosion-proof, OEP, other.)
Operating Voltage:
Operating Frequency:
Variable Frequency Drive:	Yes No
Select Phase Type:	1-Phase 3-Phase
Do You Have a Preferred Motor Manufacturer?	Note: We use WEG and USEM as our standard motor suppliers. However, we are pleased to provide pump assemblies with whatever motor and/or motor manufacturer you wish.
*Additional Information:

PLEASE NOTE: This Free Quote Form does not obligate you to purchase any of our products.