Please fill out the following form online and click the “Submit” button located on the bottom of this form to obtain a recommendation and quote for your specific application.

To download the form in .PDF format and prepare it offline click here. After you have completed the data sheet, email it to info@directdrivehead.com at your convenience.

The more information you can give us, the better we will be able to assist you.

Client/Location Information
Contact Name:
Company:
Address:
Address (Line 2):
City:
State:
Zip:
 
Country:  
Phone:
Fax:
Email Address:
Confirm Email Address:
Well Completion Data
Field:
Well:
 
Casing
Size (inch.):
Weight:
Shoe @:
Liner
Size (inch.):
Weight:
Shoe @:
Perforation Depth (in ft.)
Top Perf: Bottom Perf:    
Tubing
Size (inch.): Weight:    
Well Depth
MD: TVD, ft.;    
Well Location
Onshore: Offshore:    
Production Data
Pump Setting Depth
Ft.:        
Current Flow Rate
BFPD: H20 Cut %:    
Producing GOR
CuFt/bbl:        
Static Fluid Level
Ft.:        
Well Head Pressure
PSI:        
Fluid Property Data
Oil
Gravity: oAPI        
Viscosity
cPo @ oF @ Formation
Water
Specific Gravity:  g/cc        
Design Requirements
Design Flow Rate:  BFPD        
Desired Pump Setting Depth:  Ft.        
Power Supply Available:  Voltage        
Single or 3 Phase:        
Other Data
Sand Content: Paraffin:    
H2S Content: Other:    
Comments/Questions

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