Doodlebug Pump -- Submit Form

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REQUST FOR MOTOR QUOTATION

This form is designed to make it easy to provide you a good accurate quote by asking for as much information as possible. The more the better.

Please reference the application: Is it a horzontal or vertical application. Is it for a pump or some other purpose?

Is it a BaldorŽ, US Motors, or some other brand?

Contact Name:*

Company or Institution
(If Applicable):

Street Address:

City, State or Providence
& Zip (Postal) Code:

Telephone Number:

Email:*

Enclosure?(Select):*

ODP(Open Drip Proof)
TEFC(Totally Enclosed Fan Cooled)
Other

Motor RPM?(Select):*

900
1200
1800
2300
other

Phase(Select):*

Single Phase
3-Phase

Voltage(Select):*

115/230 Volt
230 Volt(only) 115/208/230 Volt
208-230/460 Volt
460 Volt(only)
575 Volt
Other

Motor Style:(Select):*

Horizonal
VHS(Vertical Hollow Shaft)
Other

Motor Frame (example 56C, 182T, etc.):*

Any additonal information you can provide(make or model, etc.):