Using this request form, you can order a pump with us, which we will strive to produce according to your wishes in our own factory. To be able to do this correct, we require a number of sizes and values, for which you can use this form.

If you have finished completing this request form, click Send. The data is then stored in our database, you will automatically receive by email a confirmation of the by you completed data. Therefore, be careful when specifying your email address.

On the basis of the left figure, you can see exactly what sizes and values we like to know. Of course you can leave the fields blank to fill in the values you don't know. You will find also a description of the requested value.

After receivement of your form, we will contact you within a few working days to answer any questions and maybe already plan a follow-up appointment.

The form fields marked with a "*" are mandatory requirements!


Technical Details
Details with regard to the electrical connection
Contact details

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