Sales Inquiry Form


>Print Version of Form


Date: Well Name:
Company: Well Location:
Address: Delivery: ARO:
Representative: State/Zip:
Office No: Country/State:
Email Fax No:
Flow Rate: MMCF/Day Priced By:
Well Shut In Pressure PSI    
Well Flowing Pressure PSI    
Flowing Tempreture: Deg F.    
Line Pressure: PSI    
Oil: Bbl/Day Specific Gravity
Water: Bbl/Day    
Specific Gravity or Gas:    
Is the Well on Compression: Yes No    
Type QTY Description


Line Heater Recond. New Desc:
HP Seperator Horiz Vert 2P 3P Code/Non Code
Recond. New Desc
LP Seperator Horiz Vert 2P 3P Code/Non Code
Recond. New Desc:
Filter Seperator     Horiz Vert Code/Non Code
Recond. New Desc:
Dehydrator Packed Trayed w/ 6 or 8
Desc:
Heater Treater Horiz Vert Code/Non Code
Recond. New Desc:
Meter Run Recond. New Simplex/Senior
Desc:
Barton Pen Rec. 2/3 Pen Desc:
Tanks Desc:
BP Valve/Pilot Desc:

Remarks