Water pumps and washer equipment for window wiper systems

Performance Window Wipers for the Marine, Rail and Commercial Industry

CUSTOMER ORDER FORM

Please fill in your requirements below. You will receive an acknowledgement of your order from B. Hepworth and Co. Limited.

Fields marked with an asterisk must be completed.

Name*
Address*
Country*
Tel*
Fax
Email
Order No.*
Payment Method

Type of wiper
Size of exposed glass: Height x Width
Width of seal or frame surrounding glass 'S'




Distance 'D' from exposed glass
Thickness of bulkhead
Wiper supply voltage
Is glass recessed to Bulkhead 'R'

















Is glass parallel to bulkhead? If not, state angle
Is glass vertical or sloping?
Length of wiper arm
Length of wiper blade
Angle of arc if Pantograph or Pendulum
Wiper to be mounted
ALWAYS PROVIDE A DRAWING IF POSSIBLE

If you are showing a drawing of your specifications or dimensions

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