Panel Quotations and Orders

Please provide us with the following information:

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Name:

Order No:

Organization:

VAT Number:

Street address:

City:

State / Province:

Postal address:

City:

State / Province:

Zip / Postal code:

Country:

Work Phone:

Mobile Phone:

Fax:

E-mail:

For each one of the entries below, please supply us with the following information:

For standard MSI panels: Only the motor size (15, 22, 30 or 37kW)

For Custom Panels:
1. Mounting: Indoors or Outdoors (IP Rating)
2. Motor:

Motor Voltage e.g. 525V

Rating e.g. 22kW

3. Control Voltage e.g. 24V or 240V etc.
4. Starter Configuration: STAR/DELTA or D.O.L.
5. Auxiliary Peripherals e.g. pressure sensors.
6. Preferred components to be used e.g. Telemechanique.

Standard / Custom«	Quantity«	Panel Description«

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Last modified: 2011-02-28