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Customer Profile
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Recirculation Line Details describe the recirculation line
Building Type What type of building is the recirculation line in, multi-housing, hospital, low-rise, condo, hotel, etc? Number of Floors How many building floors are serviced by the recirculation line?
Number of Units How many housing units are serviced by the recirculation line? Number of Residents How many residents are serviced by the recirculation line?
Boiler/Heater Location Where is the boiler/water heater located? Access to Boiler Room? Home YesNo
Cold Water Line Diameter What diameter pipe is the cold water make-up line? Cold Water Line Material What material is the cold water make-up line made of?
Pump Manufacturer Who is the manufacturer (OEM) of the water pump? Pump RPM What is the RPM rating for the existing water pump? (suggested 3,200 rpm for On-Demand)
Pump Shut-off Valves? Home YesNo Fuel Type (Gas/Oil) Is the hot water heated with natural gas or heating oil?
Schedule a Site Visit On-Demand Installation Request
Site Visit (yyyy/mm/dd) What is your preferred date for a site visit? Total Recirculation Units What is the total number of separate recirculation lines that you govern?
Site Visit Time Home # OD Units Ordered? Home
On Site Contact What is the contact person at the site for installation? 1st Install Date/Time What is your preferred date and time for installation? (please state date as yyy/mm/dd)
Site Contact Cell What is the cell phone number of the site contact? 2nd Install Date/Time What is your second preferred date and time for installation? (please state date as yyy/mm/dd)
Customer Details Installation Site Details
Customer Name Home Installation Address Home
Contact Name Home City/State-Prov Home
Contact Email Home Area Code/Country Home
Contact Phone Home Second Install Address Home
Contact Cell Contact cell number Third Install Address Home
Installation Notes General Notes
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