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Name:

Capacity (GPM):

Company Address:

Mailing Address:

Head (Feet):

City:

State:

Liquid Handled:

Zip Code:

Telephone:

Liquid Temperature:

Fax:

E-mail:

Motor Enclosure

 

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Motor Voltage (select one):

 
Additional Important Information About Your Application:

  


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Memphis Pump
& Manufacturing Co. Inc.
(901) 365-6330  /  Fax: (901) 365-1456
4000 Winchester Rd.
Memphis TN
38118

sales@memphispump.com
accounting@memphispump.com