Questionnaires for “KAWA” Seal - Less Tube Pump

To select the most suitable one for you, please fill out about the following information and return it by fax at your convenience:

1.  Kind of Fluid
2.  Delivery capacity (liter/min)
3.  Output Pressure
     (If unknown, transfer distance or sketch of piping would be      helpful.)
4.  Operation Hours (per day)
5.  Viscosity of Fluid (CP)
6.  State of fluid (ex. Sludge, solid, etc)
7.  Volume of Fluid
8.  Temperature of Fluid
     Density of fluid
     Ph of Fluid
9.  Suction Pressure (If unknown, transfer distance or sketch of      piping would be helpful)
10.  Connecting way
       One-Touch type is standard
       If another type (Flange, PT male screw,etc) is needed, please        be specified)
   
11.  Material of fitting (Nipple)
       SS-41 is standard
       If another type is needed, please be specified
12.  Your company & person in charge