If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required 45,000 to 1,500,000 GPG 16-210 GPM Thank you for your inquiry. We manufacture Parker Boilers and related equipment and distribute our product through our Representatives throughout the world. In order to help us give you Budget Pricing or have a Representative give you this information we need to know the following information: Your Full Name Company Name What is your type of business Select One Installer Contractor MFG Rep Wholesaler End User (Owner) Address 1 Address 2 City State Or Province Zip / Post Code County Country Phone Number (including country code if outside USA) Email Address * Location Where the Equipment Will be Installed Job Name Bid Date City State or Province Zip / Post Code County Country Are there any Local, City, County, State or Country codes that you are aware of for this equipment? Electrical Requirements Select One 115V/60HZ/1PH 230V/60HZ/1PH 208V/60HZ/3PH 230V/60HZ/3PH 460V/60HZ/3PH 220V/50HZ/1PH 380V/50HZ/3PH 575V/60HZ/3PH What is the space available for the equipment? Height Width Length Feet or Meters FeetMeters Number of Units Jobsite Elevation Feet or Meters FeetMeters What is the smallest doorway or travel clearance in inches? Width Height Any other special openings? Operating of pressure of Water System in psi Select One 40 50 60 70 80 90 100 110 Please check other items needed below Seismic Restraints Required Export Crating Needed Gallons per minute (16-210 gpm) Operating hours per day Percent Condensate Return if applicable (1-100%) What is the raw water hardness in PPM? N/A 1-5 6-10 11-15 16-20 21-25 26 or greater Is there any additional information you can provide? Special controls, trim, or insurance requirements? Sometimes if we know the application we can recommend options that will facilitate the use, installation and life of our products. Please return this form with as much information as possible and we will get back with you as soon as possible. Domestic Inquiries All units are delivered within 25 miles of our factory, Los Angeles, CA or domestic crated for common carrier. International Inquiries All international shipments are F.O.B. Factory, Los Angeles, California. Any export documentation, export crating, inland cartage, insurance or brokerage fees are not included. Currently our international terms are 30 % deposit prior to release for fabrication, balance cash in advance, electronic wire transfer prior to shipment. If you have any further questions about Parker Boiler please contact us at +1-323-727-9800. Â