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Name*:

Company Name*:

Phone:

Email:

City:

State:

Zipcode:

Application:

Heat Load (Btu, Tons, kW):

Leaving (operating) Temperature:

Coolant (water, glycol, etc.):

Air Condensing IndoorOutdoorSplit SystemTemperature

Water Condensing CondensingTemperature

Required Flow Rate:

Required Pressure:

Voltage:

Bolt-down clips or wheels:

Elevation - chiller will be: AboveBelowSame level as process and piping

Process Connection Size: StandardCustom

Condensor Connection Size: StandardCustom

Options (alarms, controls, etc.):

Comments or Questions:

Phone: 302-658-2638 Fax: 302-658-2642
19 Davidson Lane. Bldg. 7 New Castle, Delaware 19720

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