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INFO
Form: Build Your Own Delivery Unit
Build Your Own Fuel Delivery Unit
If you would like to build your own Refined Fuel Oil Delivery unit, please complete the following form
Name
First
Last
Business Name
Email
Address
Street Address
City
State / Province / Region
Zip / Postal Code
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Algeria
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Chile
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Congo, Republic of the
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Libya
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Lithuania
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Malaysia
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Mali
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Mauritius
Mexico
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Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
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Rwanda
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Saint Lucia
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Samoa
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Serbia and Montenegro
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Slovenia
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Sudan, South
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Ukraine
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United States
Uruguay
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Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Phone
Fax
TANK STYLE
Tank Style
Champion
Classic
Classic II
Clipper
Combo
Material
Aluminum
Steel
Stainless Steel
Compartment
1
2
3
Other (provide details below)
Compartment details
METER INFO
Untitled
Neptune Meter
L.C. Meter
Other (provide details below)
Meter Other Info
HOSE INFO
Hose
1 3/8” x 150’
1 3/8” x 175
1 1/4" x 150’
Other (provide details below)
Hose Other Info
PUMP INFO
Pump
2 1/2” Blackmer
2” Roper
Other (provide details below)
Pump Other Info
Bottom Loading/Vapor Recovery
Yes
No
PAINTING & LETTERING
Painting & Lettering Requested?
Yes ( if yes, provide details below)
No
If "YES" Painting & Lettering brief description:
OTHER
Double Bulkheads
Yes
No
If "YES" Double Bulkheads, how many?
Power Take Off (PTO)
Muncie
Chelsea
Other if other, provide details below)
If "OTHER" PTO, specify
Emergency Valves
2"
3"
4"
Tool Box
Yes (specify size below)
No
If "YES" Side Cabinets, Specify Size
Chassis
International
Peterbilt
Kenworth
Mack
Have/Will Supply Own
Other (describe below)
If "other" Chassis, please specify
Longsills
Box Style
"L" Style
Other Info/Requests/Info