PTO Pumps, Direct Mount Pumps, Piston Plus Power Units
QUOTATION REQUEST FORM:


In order for a quotation to be prepared, please complete the following form in its entirety.
Customer data:

Customer name:
Customer address:

City, State & ZIP:

Telephone number:

Fax number:

E-mail address:

Engineering contact:

Purchasing contact:

Person submitting this request:

Why is Williams® asked to quote?
Shopping for a better price
Looking for a new source
This is a new application
Other

Type of Williams® unit to be quoted:
Equivalent Williams® part number or model code (if known)


PTO Unit
Direct Mount
12 Volt
24 Volt
Valves

Competition:

Competitor's Model #


Specific requirements:
Pressure range:


Flow range:


RPM range:


Double acting?

Single acting?


No valve(s):


With manual valve?

With solenoid valve?


With switch box?


Will unit be used to lift people?

Annual usage (in units):
Year 1:

Year 2:

Year 3:

Year 4:
Year 5:

Release quantity:
Target price:

Customer part number:

Cylinder data:
Manufacturer of cylinder:

Bore size:

Stroke length:

Rod diameter:

Retracted center to center distance:


Please describe the type of application
(truck hoist, tailgate lift, snow plow, etc.):

Please provide any additional information that
may assist us regarding the requested quote:






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WILLIAMS® MACHINE & TOOL
204 Plastic Lane • Monticello, IA 52310-9472 USA
Phone: (319) 465-3537 • Fax: (319) 465-5279
e-mail: sales@energymfg.com


©2004 Energy® Manufacturing Company
Revised ©2005 Energy® Manufacturing Company