Request form for a customized system

All fields identified by an asterisk (*) are mandatory.

Company details

Company Name *

First and last name of contact *

Address *

City *

Zip/Postal code *

State/Province *

Country *

Email *

Phone *

Fax

Details of the building where the system will be installed

Industry type *

Number of floors *

Number of surfaces to be cleaned *

(Please indicate the surface for each of the main areas)

Inlet 1

Inlet 2

Inlet 3

Inlet 4

Inlet 5

Inlet 6

Inlet 7

Inlet 8

Inlet 9

Inlet 10

Inlet 11

Inlet 12

Inlet 13

Inlet 14

Building surface area* (length x width)

Maximum electric voltage available where the system will be installed *

240V 380V 480V 575V

Power supply *

Two-phase Three-phase

Materials to be vacuumed *

Dust or sawdust Textile dust Shale or coal dust Sand or stone dust Cereal dust Cement, limestone dust, etc. Metal particles Dander or other organic waste

Details of the system required

Type of industrial central vacuum system required *

Automatik commercial-grade system for solids and liquids Automatik industrial-grade system for solids and liquids Automatik industrial-grade system for solids with drainage system Automatik industrial-grade hybrid system for solids and liquids with pneumatic tank drainage

Does the installation need the 'lower canister' option?

Yes No

Maximum number of concurrent users expected *

Frequency of use *

Number of hours per day

Number of days per week

Annual usage in hours

Details of the installation

Please note that an outdoor exhaust is required for all Drainvac industrial system installations.

Will the power unit be installed in a mechanical room? *

Yes No

Specify where:

If Yes, can separators be installed near this mechanical room?

Note : Separators must be easily accessible for maintenance purposes

Yes No

Details of the location of the power unit and separators: *

Type of piping according to installation standards *

Metal ABS PVC XFR

Approximate length of the piping in linear meters *

Attachments e.g., photos of the installation location

Comments or special notes