Brooklyn Severe Duty Equipment Corporation Information Request Form

Style of System	*
Cooling Capacity Measurement Unit	*
Cooling Load (Capacity)	*
Temperature Measurement Unit	*
Maximum Ambient Temperature	*
Altitude Measurement Unit	*
Altitude Above Sea Level	*
Operating Voltage Range - Volts	*
Operating Electrical Frequency - Hz	*
Heater Requirements - KW	*
List Corrosive or Hazardous Material in Environment	(Specify "None" if that is the case) *
Hazardous (Explosive) Class	*
Hazardous (Explosive) Group(s)-	Select all that apply. To select more than one: Hold down the shift key, click on all that apply with the mouse. *
Hazardous (Explosive) Division/Zone
Completely describe the application or use of this air conditioning equipment	*
Add any additional comments that may help get a better response to your query (Optional)	(Optional)
Number of units being considered for purchase	*

Name	*
Position (Optional)	(Optional)
Company Name	*
Address	*
City	*
State	*
Postal Code	*
Country	*
Telephone Numbers	Country and City/Area Codes : Phone Number : Fax Number (Optional) :	* *
Email Address	*