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First Name

Last Name

Company

Email Address

Pump Model

Pump Discharge

Type of Rail System

Quantity of Pumps Used

For Customer Supplied Rail Bases

Rail Base Model

Rail Pipe Size

Discharge Size

For ALL Guide Rail Systems

Rail Pipe Material

Discharge Pipe Material

Discharge Depth From Top Flange

Discharge Type

Shutoff Valve

Check Valve

Basin

Basin Diameter in Inches

Basin Depth in Inches

Anti-Float

Valve Box Diameter

Attached Valve Box

Cover

Vent Size

Mushroom Vent Size

Steel Cover Options

Accessories

Electrical Connections

Quantity of Electrical Connections

Float Bracket

Inlet Pipe Material

Inlet Hub

Pipe Size for Inlet

Comments