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