Brochure Request Form


Your email:   (Note: we will keep all your information confidential)

Name:

Title:

Company:

Address:

City: State: Zip:

Phone: Fax:

Type of Business End User: Cooling Tower Contractor: Other:

COOLING TOWER DESIGN REQUIREMENTS:
   Cold Water Temp:    / Celsius: 
    Hot Water Temp:     / Celsius: 
              Wet Bulb:     / Celsius: 
Gallons per Minute: 
              Tons: 
             BTU's: 

CHECK DESIRED OPTIONS:
1. Type Unit
    A. Standard Film Fill:
    B. Non-Fouling Fill:

 2. Cold Water Basin
    A. Stainless Steel Basin 
    B. Stainless Steel Sub-Support Structure 
    C. Galvanized Steel Sub-Support Structure 
    D. Install on Existing Basin 

3. Mechanical Equipment
    A. Two Speed Electric Motor 
    B. Stainless Steel Oil and Vent Lines 

4. Fan Stack
    A. Stainless Steel Fan Stack Screen 

5. Internal Components
    A. Stainless Steel Distribution System 
    B. Stainless Steel Drift Eliminators 

6. Fan Deck Access
    A. Handrails, Toe Boards, Ladder, Safety Gate 

7. Outer Casing Color 

8. Shipping
    A. Domestic 
    B. Overseas 
    C. Assembled 
    D. Un-assembled 

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Last Updated: Tuesday, November 25, 2003 - By: JLH Systems