Contact Name*

Company Name*

Email*

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Phone*

Fax

Address

City, State, Zip

Country

Hull #/Vessel Name/Project Reference*

Product Desired*
GRIDCOOLER Keel CoolerWEKA Boxcooler

Engine Type*
PropulsionBow ThrusterGeneratorOther

If Other Was Selected

Emissions Data
Tier 1Tier 2Tier 3Tier 4IMO

Manufacturer*

Model*

Rating (BHP/RPM, BKW/RPM, EKW/RPM)*

Engine Age

% Antifreeze Used*

Heat Rejection

Fresh Water Flow Rate

Fresh Water Temp into Cooler

Fresh Water Temp Out or Drop Across Cooler

Make & Model of Gear

Type of Boat (ferry, trawler, pleasure boat, etc)*

Hull Construction*
SteelFiberglassWoodAluminum PaintedAluminum Unpainted

Min Hull Speed at Full Rated Power (under full load)*

Cofferdam Installation
YesNo

Maximum Sea Water Temp*

Comments

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