SYSTEM DESIGN FORM
In order to provide you with the most accurate quotation possible, please complete this
System Design Form
, and click the SUBMIT button.
If for any reason you have questions, or would like some assistance filling out this form, please feel free to call us.
CONTACT INFORMATION
Mr.
Mrs.
Miss
First Name
Last Name
Email Address
Company
Phone
Fax
WELL DATA
Well Location  
Field  
Formation  
Total Depth  
ft.
meters
Performation Depth  
ft.
meters
Pump Landing Depth  
ft.
meters
Casing Size  
inches
mm
Tubing Size  
inches
mm
Rod Size  
inches
mm Grade
PRODUCTION FLUID LEVEL FROM SURFACE
Current  
ft.
meters
Projected  
ft.
meters
Flow Line Pressure  
psi
kpa
Casing Pressure  
psi
kpa
PRODUCTION DATA
Current Production  
bfpd
M3pd
Target Production 
bfpd
M3pd
Temperature at Pump  
F
C
Bottom Hole Temp.  
F
C
API Gravity (API)  
Watercut (%)  
Sandcut (%)  
GOR (scf/bbl/m3/m3)  
WAX
YES
NO
ASHPHALTENES
YES
NO
CO2  
ppm
%
H2S  
ppm
%
TREATING CHEMICALS
Supplier  
Brand Name  
Treatment Method
Batched
Continuous
SURFACE EQUIPMENT
DRIVE HEAD
Direct
Gearbox
Hydraulic
DRIVE CONNECTION
Threaded
Flanged
PRIME MOVER
Electric
RPM
GAS
HorsePower
ELECTRIC MOTOR CONTROLLER
VFD
Vector
No Controller
Comments or Questions?