Request for Quotation

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Do you know the specific model(s) of Culligan equipment
you wish to have quoted?
Yes or No

Please select the specific equipment.

Water Softeners -
Which model number?
Do you need: Duplex unit Single unit

If you selected duplex:
Do you need a duplex alternator to automatically coordinate regenerations?
Yes No

Regeneration options: Demand - based on gallonage Aqua sensor Time clock

Carbon Filters -
Which model number?
Do you need: Duplex unit Single unit

Depth Filters -
Which model number?
Do you need: Duplex unit Single unit

Culsorb (Iron) Filters -
Which model number?
Do you need: Duplex unit Single unit

Reverse Osmosis Systems:
Have you considered the proper pre-treatment
required prior to the reverse osmosis procedure?
(such as softeners, antiscalent feed, pH adjustment, filtration, etc.)
Yes No Send me additional information

If you selected no:
With a water analysis, we will be able to tell you exactly
what will be required to optimally maintain your
reverse osmosis system.

Equipment:
Series B, Model #:
Series E, Model #:
Series M, Model #:
Series T, Model #:

Accessories:

Please indicate below if there are any other options or accessories for which you'd like to receive a quotation (such as 1.5Hp Pump or an 80 gallon pressure tank, etc.)

           Name      
           Company   
           Address   
           City      
           State        Zip  
           Country   
           E-mail    
           Phone #   
           Fax #

Project reference name:

Project location:

              Freight option:
               FOB Chicago
               FOB Miami (includes dropped to freight forwarders)
               Other - please specify:

              Tax Status:
               Charge sales tax
               Tax exempt 
                (Sales tax # or drop shipped to a freight forwarder)

Start-up is not included in the quote. Would you like Culligan to provide a separate quote to inspect the installation, start up the unit(s) and train a local operator on the system?

               Yes
               No 
               Please provide more information