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Name
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Fax
Final location of boiler:
City
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Please complete the following general information regarding
your new/previously owned equipment requirements (Check All that Apply)
Boiler Requirements:
I prefer equipment to be:
New
Used
Either
I prefer to:
Purchase
Lease
Length of Lease
Boiler Make:
Firetube
Watertube
Either
Boiler Type:     
Steam
Operating Pressure  PSI
Hot Water 
Operating Temp
°F
Operating Pressure PSI
Capacity
Power Requirments
Volts
Phase
Hertz
Fuels  
Natural Gas
Pressure  Please Indicate Units ("w.c., psi, etc.)
Propane
No. 2 Oil
No. 6 Oil
Low NOx Required?
Yes
NOx Limit 
PPM
No
What will be the final operating altitude?
(Feet above sea level)
What date do you need your boiler by?
Please leave additional application requirements or comments here:

 


  
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