Power Unit Form

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Power Unit Quote Request Form

Quote Due Date

Requestor Contact Info:

Contact Name (First, Last)*

Office Phone *

Cell Phone *

Email *

Company Name *

Company Location (City, State) *

Job Name *

Job Location (City,State) *

Power Supply Volts / 3Ph / 60Hz

200-208 220-240 460-480 575

Total Travel

Car Speed

Piston OD

Capacity

Empty Car Weight

OR

(Cap. + Car Wt + Piston Wt)

Gross Load

If ONLY Capacity is known, please provide one of these pressures

Full Load Working Pressure (addition of overspeed valve adds 20psi)

No Load (static)

Empty Running Up

Down Regulated Valve

Yes No

Seismic Zone

Yes No