Compressed Air System Request

Name

Email address:

Phone:

Company Name:

Physical Address

Intended Use

Environment

Model Number Requested

Compressor Type

Moisture Separator

Quantity

Flow Rating (SCFM)

Operating Pressure (PSI)

Lubricant:

Air Drying System

After-Cooler

Motor Size (HP)

Motor Type

Voltage

Phase

Cycle

Electrical Classification:

Control Enclosure Required

Gallons/PSI Rating

Vertical/Horizontal

USCG or ABS Approved

Air Receiver

If a skid required please provide approximate dimensions

Length / Width / Height along with special lifting requirements

Skid Required?

Miscellaneous Specifications

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