Please fill in as much information as possible so that we can serve you better.

If you prefer, you can print a copy of this form, fill it out and fax it to us (800-535-1745 or 651-686-2197) or send via email to:

  • Contact Information

  • Application Information

  • Requirements

  • Duty Cycle Hours

  • Fluid Supply

  • Dynamic Pressure With Flow At Twice The Application

  • Electrical Supply

  • Accessories

Join the General Pump Newsletter for new pump announcements, company updates, and more!

Search Products