CLIMATE SOLUTIONS REFIT FORM Order Number Page 1 of 4 First name * Last name * Company or vessel name * Address City State or province Zip / postal code Country or flag state * Phone number * International United States Email * Your email address Home port * Please Indicate your role in the project: Boat owner Boat dealer Boat builder Naval architect Goverment agent Other Expected date of equipment delivery: * Page 2 of 4 Vessel Data Builder / vaval architect Model / series Vessel type Power Sail Vessel use Pleasure Passenger Commercial fishing Workboat Tugboat Military/patrol Other LOA Gross tonnage Page 3 of 4 Current HVAC System Describe your current HVAC system Any there any issues with your current system? Date of last installation AC voltage / phase / Hz 480V / 3PH / 60Hz Chiller Plant Semi-automatic Automatic Manual Custom Number of stages Chiller capacity (BTU / hr) 480,000 BTU / hr Condenser type Standard Shell & tube Do you need an increase of your overall cooling? Yes No Heat requirements Yes No Complete tear out Yes No Page 4 of 4 Other details about your refit: Any additional Information is appreciated.
