Chiller Quote Request

Wholesaler:(required)

Requested by:(required)

Phone:

Project Name:

Brand:(required)

Condensing Type: (only option available)

Refrigerant:

(Ton)

Date(required)

Email:(required)

Fax:

Location:

Application:(required)

Ambient Air Temp:

Required Capacity:

Entering Fluid Temperature:

Leaving Fluid Temperature:

Fluid Flow Rate:

% Glycol Mixture:

Fluid to be Cooled:

Type of Mixture:

(Specify Mixture if Other)

Voltage:

File upload

Allowed file extensions jpg, jpeg, png, gif, pdf - Maximum size 256MB

NOTES: Please list any options required