GET A QUOTE - Dealers (IF YOUR COMPANY IS NOT A DEALER, BUT WOULD LIKE TO BE... Please fill out the Dealership Query form first. Then complete this quote form.) YOUR INFORMATIONCompany Name*Your Name (First and Last)*State/Province*Email* Reference number or customer namePhonePostal Code(if not USA)Country(if not USA) WELL Static water level (in feet)*Current pump configuration*Submersible on pitless adaptor.Submersible. Not pitless. Pipe through TOP of well cap.Jet pump.Other (describe in Message at bottom)No pump in well.Current pump's set (in feet)Depth of well (in feet)*The number for well depth MUST be larger than static water level and pump position/set. Recovery rateFreezing level/frost line* CASINGCasing ID*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"ID / 6.625"OD + 4" liner6.25"ID / 7"OD + 4" liner8"Other (describe clearly in 'Message' at bottom)Casing rise*From ground level up to rim of casing.Casing material*MetalPVCn/aAround casingEarthConcreteRelevant for 2, 4 or 4.5" casings. USE OF THE SIMPLE PUMPWater delivery*Connect to home's pressure tankDefinitely never to home's pressure tankAny vertical rise (from well head up to point of delivery)?* MOTOR? Simple Pump's low-power-draw motors operate to a maximum of 225' static water level. Suitable for solar or other 12v or 24v DC source.Choose one...No.Customer might want a motor in the future.Now: Complete system.Now: Motor and electronics. My company will provide the panels and stand separately.Now: Standalone motor, outdoors. My company will provide the power system.Now: Standalone motor, under shelter. My company will provide the power system. 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]>. 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.