QUOTE QUERY – backup *** IF YOU DON'T KNOW THIS INFORMATION: Please check with your well company, or we may be able to refer you to a company. *** WELL CRITICAL NOTE: Water level MUST be the smallest number. Then pump position is a larger number... or blank. Then well depth MUST be the largest number. (All are measured from ground level down.) Static water level (in feet)*Current pump's position/set (in feet)Depth of well (in feet)*Current pump configuration*Submersible on pitless adaptor (through side of casing, underground).Submersible. Not pitless. Pipe through TOP of well cap.Jet pump.Other (describe in Message at bottom)No pump in well.Please note: With any typing in the 'Current pump position' field above, the 'No Pump' option cannot be selected. But this is a REQUIRED question, so you MUST select one of the other four options. Recovery rate*(gallons per minute)Freezing level (frost line)*If you don't know, your local authorities, well company or builder will. CASINGCasing INSIDE diameter*2"4"4.5"5"6"6.25" thin-wall (6-5/8 OD, 20.8" circumference)6.25" thick-wall (7" OD, 22" circumference)6" sleeve + 4" liner6.25" thin wall sleeve + 4" liner6.25" thick-wall sleeve + 4" liner7"8"Other (describe clearly in 'Message' at bottom)Casing rise*(From ground level up to rim of casing. Usually about 12-24".)Casing material*MetalPVCn/aAround casingEarthConcrete USE OF THE SIMPLE PUMPWater delivery*Connect to home's plumbing (pressure tank)Definitely never to home's plumbing (pressure tank)Any vertical rise (from well head up to point of delivery)?* MOTOR? COMPLETE THIS SECTION - ONLY IF INTERESTED IN MOTOR SimplePUMP motors can operate to a maximum of 225' static water level. Suitable for solar or other 12v or 24v DC source. * If choosing a "motor now" option, we MUST have a figure for gallons per day... so we know our motor can supply what you need.Choose one...I might want a motor in the futureNow: #1 Battery-based systemNow: #2 Panel directNow: #3 Standalone outdoorsNow: #4 Standalone indoors(More info on the various motor options here.)Gallons needed per day YOUR INFORMATIONYour First and Last Name*Email* CAUTION: Hotmail, msn, outlook and live sometimes have delivery problems. Please use a different email if possible. If you don’t have one and don’t receive a reply within two days, write directly to Bryan Davis <[email protected]>. State/Province*PhoneIn case there is difficulty with your email address, or if we need to clarify a complex point.Zip/Postal Code (IF outside US lower 48)Country(EXISTING SimplePUMP DEALERS ONLY) Company name(EXISTING SimplePUMP DEALERS ONLY) Reference number or customer nameIF YOUR COMPANY WOULD LIKE TO BECOME A DEALER... Also fill out this Dealership Query form, after completing this quote form.Would you like a phone follow up after receiving your quote?YesNoMessage: Any other relevant information or questions... (Please be as detailed as you like) Please help prevent SPAM by clicking the box below and (if necessary) following the directions. Then click Send Quote Request. This iframe contains the logic required to handle Ajax powered Gravity Forms.
