Process Cooling Inquiry Form

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Name:*

E-Mail Address:*

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Company Name

Phone

Street Address

City, ST Zip

Equipment Interest:

Central Chiller
Portable Chiller
Water Tower
Pump Tank
Temperature Control Unit

Chiller Type:

Air Cooled
Water Cooled

Chiller/Tower tonnage, if known:

Temperature Control model if known:

Power available

460/3/60
230/3/60
230/1/60
120/1/60
other

How would you like us to respond? (select all that apply)

Bugetary Quote
Phone call follow up
e-mail follow up

Subject:*

Message:*

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