Order form for A-CIL spare parts
Please fill out as completely as possible and submit to Johnson Pump Horticulture
Date of order:
Your reference:
Pump type:*
Pump Number:*
Impeller diameter:*		mm
* This information can be found on the pump name plate or on the label on the front of the manual that came with the pump.
Motor type:		Brandname:
		kW:	rpm:
	Description		Quantity			Description		Quantity
	Bolt					Counter ring
	Spring washer					Lantern piece
	Washer					Stud
	Impeller					O-ring
	Spacer ring					Key
	Mechanical seal with bellows					Simrit-ring
	Shaft sleeve					Electrical motor
	Gasket for pump casing					Nut
Other information
Delivery address					Invoice address		Same as for Delivery
Country:					Country:
Telephone		Fax	Email			Ordered by: