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Information Request Form

For information or proposal on a Horlick motor-generator set, please complete the entry form below. For immediate assistance, please contact us at:

(T) 781-963-0090
(F) 781-986-1540

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Please fill in your contact information.
Name:
Company:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:

Fill in the details with respect to your application.
What input voltage is available in your facility?
Voltage:
Frequency:
Phase:

What output voltage do you require?
Voltage:
Frequency:
Phase:

What is your output power capacity requirement? Complete one or all of the fields below.
KVA:
KW:
Output Current :

Do you require a weather-proof enclosure?
	Yes No

Do you require a sound-reducing enclosure?
	Yes No

What is the nature of your load? Are there any special considerations or motor starting transients?


List any other information that may be pertinent to your application