Product and Dealer information
Note
For the specifications of the pump, drive unit and enclosure, refer to the corresponding type plates.
Delivery date : _______________________________
Product information
Model : _______________________________
Product identification number : _______________________________
Motor serial number : _______________________________
Pump serial number : _______________________________
Trailer serial number
(optional) : _______________________________
Customer's product number : _______________________________
Dealer's product number : _______________________________
Dealer information
Name : _______________________________
Address : _______________________________
City : _______________________________
Country : _______________________________
Dealer contact Telephone number Email
Sales : ________________________________________
Parts : ________________________________________
Service : ________________________________________