The following information is needed to prepare your Simple Pump quote.
*** marks required points.
If you don’t know something, insert I don’t know in the Any additional info text field.
Other points are optional.
Full Name * |
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Dealer Name (if one) |
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Phone |
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Email * |
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Address |
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City/State/Zip * |
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Country * |
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Where is your well? * | Inside Outside Outside in a Pit | |
What is the depth of the well (in feet)? *
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What is the static water level (in feet)? *
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The static water level measurement is: * | Estimated Measured | |
What is the Recovery Rate of the well? * | More than 5 GPM 4-5 GPM 2-4 GPM 1-2 GPM Less than 1 GPM Don't know | |
What is the Freezing level / frost line (in inches)? *
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What is the inside diameter of the casing? *
| 2" 4" 4.5" 5" 6" 8"
| 6" sleeve + 4" liner 6.25" thin wall (6 5/8" OD, 20.8" Circumference) 6.25" thick wall (7" OD, 22" Circumference) 6.25" ID / 6.625" OD + 4" Liner 6.25" ID / 7" OD + 4" Liner Other (Please describe below) |
What is the casing rise above ground level? *
| More than 24" 12-24" 2-11" Less than 2" | |
Is there any vertical rise from the well head up to the point of delivery (in feet)? * |
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Who will install the pump? * | My well company I need an installer I will do it myself Don't know yet | |
Is there a pump in the well now? * | Submersible on pitless adaptor (through side of casing underground) Submersible not pitless. (pipe through the top of well cap) Jetpump Other (please clarify just below) No pump in the well | |
Other Pump |
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What is the Position/set of the current pump (in feet)?
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Are you going to pump to a pressure tank (now or future)? *
| Yes No | |
Are you interested in adding a motor (now or future)? *
| Yes, I might want a motor. Yes, I want a standalone motor now. I will take care of the power system. Yes, I want a motor and electronics now. I will take care of the solar panels and stand separately. Yes, I want a complete motor system. No, I do not want a motor. |
Please submit the completed form to info@simplepump.com or complete our online quote request form.