Power Genius™ Request for Quotation
Please Add New Order
Date Of Order
11-21-2008
Company Name
Customer Contact
Sales Representative(if applicable)
How did you hear about the Power Genius?
AAE Buyers Guide -energyvortex.com-
DOD Industrial Buyers Guide
Power Efficiency Corp. Sales Representative
www.power-genius.com
www.powerefficiencycorp.com
Tradeshow/ conference
Word of mouth
Independent Sales Representative
Distributor
Energy Service Company (ESCO)
Press Release/ News
Other (please specify)
if other
Phone
Fax
E-Mail
Billing Address
Shipping Address
same as billing
Desired Shipping Date
Shipping Method
USPS
UPS
FEDEX
Shipping Account #
Nominal Voltage
208/230 vac
380/415
460/480
575 vac
Horse Power
Type of Application
NEMA Enclosure Style
Nema 1 enclosure
Nema 12 enclosure
Nema 4 enclosure
Full Load Amps (FLA)
Response Circuit Speed
Standard Response
Fast Response
Frequency Of Operation
50 hz
60 hz
Do you need wiring kit?
Yes
No
wiring kit »
Quantity