Application Evaluation Form

Please fill out the Application Evaluation form and a Gast representative will contact you with our pump recomendation.

*The Fields below relate to air pump evaluation not air motors.
For information on air motors please go to our section on air motors.

Application Evaluation Form

This unit is for:

Media being pumped:

Function: Vacuum Pressure Dual Function

Oilless Pump Lubricated Pump

Cycle:

Required Flow: CFM: LPM: M3/h

Operating Pressure: PSIG Bar "H20 mmH20

Maximum Pressure: PSIG Bar "H20 mmH20

Vacuum Required: "Hg Mbar "H20 mmH20

Sound Level: (dBa@1 meter)

Voltage/Hertz/Frequency

Max Amps:

Max Watts:

Dimensions: (lenth, width and height in " )

Free standing Inside cabinet

What Gast pump are you interested in:

Annual Quantity:

Per Shipment Quantity:

Please describe the application and any other
details that may be of importance:

Please desribe the markets or business:

How would you like to be contacted:

Have you viewed Our Gast literature? Yes No

Your full name:

Your email address: (e.g.: you@aol.com)

Company Name:

Address:

Country:

City:

State:

Zip:

Phone:

Fax: