GET A PUMP QUOTE, SPECIFIC TO YOUR WELL *** IF YOU DON'T KNOW THIS INFORMATION: Please check with your well company, or we may be able to refer you to a company. *** IF YOU HAVE ANY DIFFICULTY WITH THIS FORM, Please send a message or phone 877.492.8711 ext 2. FOR HELPMobile: Touch ?, then touch away from ? to close. Desktop: Click ?, then move away from ? to close. WELL Static water level (in feet)*Current pump's position/set (in feet) The pump position/set MUST be a number LARGER THAN static water level — or blank. You entered a number for Current pump’s position/set. Therefore, you cannot select “No pump”. Depth of well (in feet)*The number for well depth MUST be larger than static water level and pump position/set. Is there a pump in the well now?*YesNoCurrent pump configuration*Submersible on pitless adaptor (through side of casing, underground).Submersible. Not pitless. Pipe through TOP of well cap.Jet pump.Other (describe just below)Give any information about your setup you think will be useful.You entered a number for Current pump’s position/set. Therefore, you cannot click on “No pump”. Recovery rate*(gallons per minute)Freezing level (frost line)*If you don't know, your local authorities, well company or builder will. CASINGINSIDE Diameter*2"4"4.5"5"6"6.25"id / 6.625od6.25"id / 7"od6" + 4" liner6.25"id / 6.625"od + 4" liner6.25"id / 7"od + 4" liner8"Other (describe clearly in 'Message' at bottom)Rise above ground level*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 our 12v and 24v motors. Might you be interested in adding a motor - now or in the future?YesNoChoose one...I might want a motor in the futureNow: Complete system.Now: Motor and electronics. I will buy the panels and stand separately.Now: Standalone motor. I will provide the power system.Where would your motor be?Exposed to weatherUnder shelter 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*CountryCompany name (Simple Pump Dealers only)Reference number or customer name (Simple Pump dealers only)IF YOUR COMPANY WOULD LIKE TO BECOME A DEALER... After finishing this quote query, click on the Contact menu and then on the Become a Dealer link.Would you like a phone follow up after receiving your quote?YesNo..................................................Message: 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.