Chiller Quote Request Online Form
Chiller Quote Request Online Form
Distributor / Wholesaler Information
Business name:
*
Date required:
Date required:
*
/
MM
/
DD
YYYY
Requested by:
*
Email:
*
Phone:
Fax:
Project name:
Location:
Unit
Brand:
*
Select
Russell
Kramer
Witt
Application:
*
Condensing Type: (only option available):
Ambient air temp:
Refrigerant:
Select
R-22
R-404A
R-507
R-407
Other
Required Capacity:
(Ton):
Voltage:
Select
208-230/3/60
460/3/60
575/3/60
Fluid
Entering fluid temperature:
Fluid to be cooled:
Select
Water
Glycol mixture
Leaving fluid temperature:
Type of mixture:
Select
Ethylene Glycol
Popylene Glycol
Other
Fluid flow rate:
(Specify mixture if other)
% Glycol mixture
Additional information if applicable
File upload if applicable
Attach Files
Allowed file extensions jpg, jpeg, png, gif, pdf - Maximum size 400MB
Notes