Packaged Pumping Stations Customer Questionnaire

Packaged Pumping Station Diagram

Scheme Name / Ref
Contact Name
Site Address
Contact Number
Inlet Height (A)
Pumping Height (B)
Pumped Distance (C)
Rising Main
Rising Main Size
Power Supply
High Level Alarm
Distance of Control Panel to Station
Control Panel Mounted
Kiosk Required
Number of Pumps
Other Requirements
	You can now either print out the form by clicking the 'Print' button and fax it to us on 02380 660221 or you can send the form electronically to us by clicking the "Send" button.

Pumpseal Unit 1, Test Valley Business Centre,
Test Lane, Nursling, Southampton, Hampshire. SO16 9JW
Tel 02380 660122 Fax02380 660221 E: sales@pumpsealuk.co.uk