Request for Quote - Scrubber

Ceilcote Air Pollution Control is pleased to provide an estimate for your application that is requiring packing materials, based upon your input below. All fields marked with a * (red asterisk) require data input. Failure to provide data will result in a rejected form.

How Did You Hear of Ceilcote APC*:	Direct Mail from Ceilcote APC E-mail from Ceilcote APC PE Magazine AD PE Magazine Article PE Website banner/button PE Website Showroom PE E-Newsletter Environmental Protection Magazine AD Environmental Protection Magazine Article Environmental Protection Website AD WEFTEC Magazine AD Pollution Equipment News Buyers Guide AD Trade Show Google Yahoo MSN Other Search Engine Telephone Call from Ceilcote APC Referral I Am a Previous Customer Other
Project Info:
Project Name*:
Budgeted*:	RFP Only - No Budget Budgeted But On Hold Budgeted This Quarter Budgeted Next Quarter Budgeted 6 Months to 1 Year
Date*:	(mmddyy)
Contact Info:
Name*:
Company*:
Address*:
City*:
State*:
Zip*:
Phone*:
Fax:
E-Mail*:
Best Way to Contact*:	Phone E-Mail Fax Mail
Technical Data:
Volume*:	Choose Units ACFM SCFM Nm3/hr
Density*:	Choose Units lbs/ft3 grams/cm3
Temperature*:	Choose Units deg F. deg C.
Humidity (if known):	Choose Units lbs H2O/lb Dry Gas lbs/hr H2O
Containment #1
Name*: Concentration*: Removal Efficiency Required*    Choose Units PPM lbs/hr
Containment #2
Name: Concentration: Removal Efficiency Required    Choose Units PPM lbs/hr
Containment #3
Name: Concentration: Removal Efficiency Required    Choose Units PPM lbs/hr
Containment #4
Name: Concentration: Removal Efficiency Required    Choose Units PPM lbs/hr
Containment #5
Name: Concentration: Removal Efficiency Required    Choose Units PPM lbs/hr
Replace Packing for Existing Equipment?*
	Yes, by Ceilcote APC Yes, by Others No, New Equipment
Brief Description  of Application*:

If you have any difficulty with this form, please print the form and fax the request to your local Ceilcote APC office or your nearest representative.