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Serverpump® Application Form

To continue to enjoy the benefits of an aps® package pumping station take advantage of our second to none service to ensure the smooth running and long life of your system.

Using Gold, Sliver or Bronze cover means increased reliability, reduced maintenance and budgeted costs. The result – that our pumps pay for themselves many times over in reduced costs during their long service lives. During all our site visits, we carry out a 24-point service checklist.

Section 1: Your Details

Company name:

Contact name:

Contact telephone:

Invoice address:

Post code:

Site address:

Post code:

Site contact name:

Site telephone:

Section 2: Equipment Details

Number of pumping stations:

Number of pumps:

Pump models:

Number of flush valves:

Impeller:

Serial numbers:

Level control type:

Floats

Ultrasonic Probe

Pressure Sensor

Other:

Location of control panel:

Section 3: Any known hazards on site

Would you please indicate below any known hazards which we need to be aware of.

Contractors on site:

Overhead power lines:

Others:

Section 4: Type of contract

Contract required:

Bronze Silver Gold

By completing this form you are entering into a contract with all pump solutions and are bound by the terms and conditions. This does not affect your statutory rights.

Name:

Date:

Send request:

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