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 *
Dealer Name (if one)
Where is your well? *
Inside Outside Outside in a Pit
What is the depth of the well (in feet)? *
What is the static water level (in feet)? *
The static water level measurement is: *
What is the Recovery Rate of the well? *
More than 5 GPM
Less than 1 GPM
What is the Freezing level / frost line (in inches)? *
What is the inside diameter of the casing? *
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"
Less than 2"
Is there any vertical rise from the well head up to the point of delivery (in feet)? *
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)
Other (please clarify just below)
No pump in the well
What is the Position/set of the current pump (in feet)?
Are you going to pump to a pressure tank (now or future)? *
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 firstname.lastname@example.org or complete our online quote request form.