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   APPLICATION - What are you trying to accomplish ?
   How do you do it right now ?
   What is the problem ?
   Where did you hear about Doseuro ?  
   Who is the application for ?    OEM       END USER  
   Metering (continuous)  ml (cc's) / Minute, or  Litres / Hour  
   Dispensing (dosing)  ml (cc's) / dispense, or        Dispenses / Minute  
   Accuracy         %,  Precision         %     
   Discharge Pressure psig, or bar  
   Suction Pressure psig, or bar  
   Name      Specific Gravity  
   Viscosity CPS,   Acid ?    Base ?    Solvent ?      
   Highly Flammable ?    Low Flammability ?  
   Temperature       F,  or       C  
   % of Solids      Size of Solids     Solids Type  
   Shear Sensitive ?            Air Sensitive ?    
 Precautions / Features of Fluid we should be aware of ? 
Please provide an MSDS if possible
   Continuous Duty Cycle       hours per day, over       cycles per week  
   Alternating Duty Cycle       hours,  or       mins ON,         hours,  or       mins OFF,  over       days per week

   PVC       PVDF       PP       316 StSt       Pyrex       Ceramic      

 NBR       FPM       PTFE       PU

   Electrical Voltage         VAC  /        Hz  /        Phase,  or       VDC,  Stepper Motor  
   X-Proof     Fixed Speed     Variable Speed     4-20mA
  Suction Port Size Discharge Port Size Tubing Material  
    Overall.......    Immediately            in 6 Months            and in the future        
   Which Doseuro Pump / Mixer Recommended or Interested in ?

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