Contact Information

Company Name:*

Type of Industry

Contact Name:*

Title:

Shipping Address:*

City*

State (USA and Canada):*

Select One Not US or Canada Alabama Alaska Alberta, Canada American Samoa Arizona Arkansas British Columbia, Canada California Colorado Connecticut Delaware Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba, Canada Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick, Canada New Hampshire New Jersey New Mexico New York Newfoundland, Canada North Carolina North Dakota Northern Mariana Islands Northwest Territories, Canada Nova Scotia, Canada Ohio Oklahoma Ontario, Canada Oregon Palau Pennsylvania Prince Edward Island, Canada Puerto Rico Quebec, Canada Rhode Island Saskatchewan, Canada South Carolina South Dakota Tennessee Texas Unknown Utah Vermont Virgin Islands Virginia Washington Washington, DC West Virginia Wisconsin Wyoming Yukon, Canada

Zip Code:*

Telephone Number:*

Extension:

Fax Number:

Email:*

Quote Information

1. Type of Equipment (e.g., Saw, CNC, etc.)

2. Equipment Function (e.g., Sawing, Grinding, Polishing)?

3. Gallons per Minute (GPM)?

4. Clean or Gray Water Needed?

5. Actual Hours the Machine Operates?

6. Do you have plans of future growth?

If yes, then what equipment?

7. What is your overall (including future growth) flow requirement?

GPM Clean

GPM Gray

8. Material (check all applicable)?

 Limestone

 Bluestone

 Veneer

 Granite

 Marble

 Other (please specify below)

9. Please upload a sketch and/or describe existing water treatment system (i.e., pit, tanks, pumps, etc.)

If settling pit or tank is used, advise volumes and frequency of clean out.