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Flexicover application





By applying using this form you are entering into a contract with ITT Flygt and are bound by the terms and conditions.
Site Address/Phone:
(if different than your company address)


Type of Contract Required:
Bronze
Silver
Gold
Customised

Equipment Details:
Please enter the following information on your pumping stations:
1) Number of pumping stations
2) Number of pumps
3) Pump Models
4) Pump Versions
5) Kilowatt
6) Number of Flush Valves
7) Impeller
8) Serial No's
9) Installation Type: CP/CS/CT/Other
10) Level Control Type: Floats/Ultra/Sonic/Probe/Pressure/Sensor/Other
11) Location of Control Panel
12) If you require prior notice for us to visit, if yes enter tel number.

Items 1,2,3 and 12 are essential in order to price the contract, if you require assistance to obtain this information do not hesitate to contact ITT Flygt LTD.

Payment Options:
Full payment in advance
Company Purchase Order

If Company Purchase Order:
Existing account holder
Please open new account

Please supply the following information:
1) Order number
2) Date of order
3) Authorised by
4) Position
5) Print Name
6) Order Value (contract price)


Enter your e-mail address:

ITT Water & Wastewater UK Ltd.
Colwick
Nottingham NG4 2AN		 Tel: +44 115 940 0111
Fax: +44 115 940 0444