Repair / New Motor and Pump Quote Request

Please fill out the appropriate information to receive a quote. Please provide as much information as possible.

  1. Please provide the following contact information:

    First Name Last Name
    Title
    Company Name
    Street Address
    Address (cont.)
    City
    State/Province Zip/Postal Code
    Country
    Work Phone FAX
    E-mail

  2. Choose one of the following options:

    Regular Service
    Rush Service
    Emergency Service

  3. Choose one of the following options:

    Repair Electric Motor
    Repair Pump
    New Electric Motor
    New Pump

  4. Please provide the following product information:

    Make  
    Model  
    Spec Number  
    Catalog Number  
    Serial Number  
    Motor Application  
    HP   RPM
    Frame  
    Enclosure  
    Phase   Volts
    Amps   Service Factor
    HVAC Motor Type ( Condensor or Evaporator)  
    Base Type ( Belly Band, Resilient, Thru Bolt, Rigid Base, Ect.)  
    F1 or F2 Mounting  
    1 or 2 Shafts  
    Shaft Diameter  
    Body Diameter  
    Shaft Length  
    Capacitor  
    Pump Make  
    Pump HP   
    Pump GPM  
    Head Feet  
    Size  
    Fluid Being Pumped  
    Mount ( Frame or Close Coupled)  
    Pump Application  
    Pump Model Number  
    Pump Catalog Number  
    Pump Serial Number  
    Additional Information  
                                                                
Copyright © 1999 [Pinellaselectricmotor]. All rights reserved.
Revised: 10/02/06