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* Company Name :

* Address Line 1 :

* Contact Name :

Address Line 2 :

Title :

* City :

* Email Address :

Postal / Zip code :

State or Province :

* Country :<Select Country / Code>Afghanistan _____93Albania _____355Algeria _____213American Samoa _____684Andorra _____376Angola _____244Anguilla _____809Antigua _____268Argentina _____54Armenia_____374Aruba _____297Ascension Island _____247Australia _____61Australian Territories_____672Austria _____43Azerbaijan _____994Bahamas _____242Barbados _____246Bahrain _____973Bangladesh _____880Belarus _____375Belgium _____32Belize _____501Benin _____229Bermuda _____809Bhutan _____975British Virgin Islands _____284Bolivia _____591Bosnia and Hercegovina _____387Botswana _____267Brazil _____55British V.I. _____284Brunei Darussalm _____673Bulgaria _____359Burkina Faso _____226Burundi _____257Cambodia _____855Cameroon _____237Canada _____1Capr Verde Islands _____238Caribbean Nations _____1Cayman Islands _____345Cape Verdi _____238Central African_____236Chad _____235Chile _____56China (People's Republic) _____86China-Taiwan _____886Colombia _____57Comoros and Mayotte _____269Congo _____242Cook Islands _____682Costa Rica _____506Croatia _____385Cuba _____53Cyprus _____357Czech Republic_____420Denmark _____45Diego Garcia _____246Dominca _____767Dominican Republic _____809Djibouti _____253Ecuador _____593Egypt _____20El Salvador _____503Equatorial Guinea _____240Eritrea _____291Estonia _____372Ethiopia _____251Falkland Islands _____500Faroe Denmark_____298Fiji _____679Finland _____358France _____33French Antilles_____596French Guiana _____594Gabonese_____241Gambia _____220Georgia _____995Germany _____49Ghana _____233Gibraltar _____350Greece _____30Greenland _____299Grenada/Carricou _____473Guam _____671Guatemala _____502Guinea _____224Guinea-Bissau _____245Guyana _____592Haiti _____509Honduras _____504Hong Kong _____852Hungary _____36Iceland _____354India _____91Indonesia _____62Iran _____98Iraq _____964Ireland_____353Israel _____972Italy _____39Ivory Coast_____225Jamaica _____876Japan _____81Jordan _____962Kazakhstan _____7Kenya _____254Khmer Republic_____855Kiribati Republic_____686South Korea_____82North Korea_____850Kuwait _____965Kyrgyz Republic _____996Latvia _____371Laos _____856Lebanon _____961Lesotho _____266Liberia _____231Lithuania _____370Libya _____218Liechtenstein _____423Luxembourg _____352Macao _____853Macedonia _____389Madagascar _____261Malawi _____265Malaysia _____60Maldives _____960Mali _____223Malta _____356Marshall Islands _____692Martinique_____596Mauritania _____222Mauritius _____230Mayolte _____269Mexico _____52Micronesia_____691Moldova _____373Monaco _____33Mongolia _____976Montserrat _____473Morocco _____212Mozambique _____258Myanmar (former Burma) _____95Namibia_____264Nauru _____674Nepal _____977Netherlands _____31Netherlands Antilles _____599Nevis _____869New Caledonia _____687New Zealand _____64Nicaragua _____505Niger _____227Nigeria _____234Niue _____683North Korea _____850Norway _____47Oman _____968Pakistan _____92Palau _____680Panama _____507Papua New Guinea _____675Paraguay _____595Peru _____51Philippines _____63Poland _____48Portugal Azores_____351Qatar _____974Reunion France_____262Romania _____40Russia _____7Rwanda_____250Saipan _____670San Marino _____378Sao Tome and Principe _____239Saudi Arabia _____966Senegal _____221Serbia and Montenegro _____381Seychelles _____248Sierra Leone _____232Singapore _____65Slovakia_____421Slovenia _____386Solomon Islands _____677Somalia _____252South Africa _____27Spain _____34Sri Lanka _____94St. Helena _____290St. Kitts/Nevis _____869St. Pierre France_____508Sudan _____249Suriname _____597Swaziland _____268Sweden _____46Switzerland _____41Syrian Arab Republic (Syria) _____963Tahiti (French Polynesia) _____689Taiwan _____886Tanzania (includes Zanzibar) _____255Thailand _____66Togo (Togolese Republic) _____228Tokelau _____690Tonga _____676Tunisia _____216Turkey _____90Turkmenistan _____993Tuvalu (Ellice Islands) _____688Uganda _____256Ukraine _____380United Arab Emirates _____971United Kingdom _____44Uruguay _____598USA _____1Uzbekistan _____7Vanuatu (New Hebrides) _____678Vatican City _____39Venezuela _____58Viet Nam _____84Wallis and Futuna _____681Western Samoa _____685Yemen_____381Yemen Arab Republic_____967Yugoslavia_____381Zaire _____243Zambia _____260Zimbabwe _____263 * Phone Number :

Please choose one or more of the following selections

Portable Chillers

Industrial Ice Machines

Chiller Pump Tank Assemblies

Temperature Control Unit

Tower Pump Tank Assemblies

Blown Film Coolers

Central Remote Air Cooled Chiller

Fiberglass Cooling Towers

Central Water Cooled Chiller

Package Chiller

Other

Voltage / Hertz Select :

<Select Voltage> 208Volts-50 Hertz 230Volts-60 Hertz 460Volts-60 Hertz 575Volts-60 Hertz

Elevation :

Ambient Temperature : Average :

All parts in contact with your process or product are to be Food Grade :

For Process Cooling

For Ice Machines

Cooling Tonnage Requirements

One Refrigeration Ton of cooling is the equivlent to 12,000 British Thermal Units or 3.5 Kilowatts

Tonnage of Ice Requirements

Period / 24 hr

Please enter any design details / considerations such as foot print restrictions, power consumption restrictions, explosion proofing, environment - moisture content, NEMA rating on enclosures.  (1000 Characters Maximum)