Company Name(Required) RegionNortheastSoutheastNorth CentralSouth CentralMid WestNorthwestWest CoastJobsite Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Name(Required) First Contact Number(Required)Email Address(Required) Existing Compressor Information:System ManufacturerCompressor ManufacturerCompressor Model NumberCompressor Serial Number Add RemoveOperating Conditions:Evaporating Temp (°F)Condensing Temp (°F)Suction Superheat (°F)Subcooling (°F)Main Voltage (V)Control Voltage (V)Refrigerant UsedTonnage Add RemoveConditions Provided Are: Actual Nominal / Requested Drive TypeSemi-HermeticBeltDirectUnloaders (Y/N)Unloader QuantityUnloader VoltageHead Fan Voltage Add RemoveCurrent Starting Type: Across the Line Part Winding Wye-Delta Additional Components Requested (Please Check Each Required) Oil Float Oil Safety Crankcase Heater Contactor VFD Discharge Temp Sensor Head Fan Liquid Injection Condensing By: Air Water Compressor Setup: Single Circuit(s) Parallel (Shared Suction Discharge Piping) Quantity Replacement Compressors Needed:12345Reason for Replacement: Data Tag Photo (Optional)Max. file size: 64 MB.Additional NotesCAPTCHACommentsThis field is for validation purposes and should be left unchanged.