Information Request Form

Please note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: cheryl@airpump.com.

If you would like to obtain additional information about Air Pump Valve Corporation or our products, please answer the following questions and click the "Submit" button below.

Name:

Company:

Mailing:

City:

State:

Zip Code:

Country (If other than USA):

E-Mail:

Phone (Including Area Code):

Fax:

Visitor's Position:

Company Management
Engineering / Design
Plant Maintenance / Operation
Production Management
Professor / Student
Purchasing
Multiple items may be chosen.

Visitor's Main Industry:

Chemical
Petrochemical / Hydrocarbon
Paint, Ink, and/or Dyes
Adhesives / Glues
Construction / Mining
Food / Beverage
Pharmaceuticals
Semiconductor / Electronics
Metal Finishing
Waste Treatment
Marine
Multiple items may be chosen.

Application:

Batching / Metering
Construction / Mining
FDA / USDA / 3A Approval
Filter Press / Centrifuge
Plating
Powder Transfer
Recirculation
Simple Process Transfer
Sludge / Slurry Transfer
Solvent Recovery
Ultrapure / Cleanroom
Waste Transfer
Multiple items may be chosen.

Products currently using:

Air Pump Level Controls
Air Operated Diaphragm Pumps
Other
#1010
#3500
#3500TG Tank Guard Control
#1015 Overspeed Control
All Air Pump Models
Multiple items may be chosen.

Atlas Copco
Van Air
Other
Multiple items may be chosen.

Wilden Pumps
Multiple items may be chosen.

Are you currently using our Level Controls?

Yes
No
Not Sure
Multiple items may be chosen.

If "Yes", please enter the name of your distributor for Air Pump Company products:

Vendor Name:

I would like information on the following Air Pump Products:

Comments:

AIR PUMP COMPANY - Box 806 - Grand Blanc, MI 48480-0806 - (810) 655-6444