bullet2 Short Questionnaire for Online Transmittal

Please use thi sform to send any direct inquiries to us. In Part II of the form we request technical information to assist us in presenting you with a non-binding offer. Please fill out the boxes marked with an asterisk (*) so we can contact you easily and quickly.

Company Name: *
Name of Person to Contact: *
Street: *
P.O.Box:  
ZipCode / City: *
Telephone: *
Fax:  
Mobil Phone:  
E-mail: *
 
Data for Preparation of an Offer
Location
ZipCode / City:
Unit Housing:

Open Installation:

Alternating System:

Emergency Power:

Permanent Power:

Performance Rating: kVA
10 % Overload
for 1h in 12h

if no, max.
emergency power supply

Active Power: kW
Power Factor: cos phi
Voltage: V
Cycle: Hz
Switching Unit with
Load Indicator:

Ventilation and
Exhaust Unit

Tank Equipment

if yes, for how
many hours		 h
Exhaust system:

Total length of
Exhaust Pipes		   m

Please call back